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General NPI Number Information
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NPI Number | 1144428251
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Entity Type | Organization
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Legal Business Name | SLEEP HEALTH DIAGNOSTICS,LLC.
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 12/14/2016
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Provider Practice Location Address
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Address Line | 780 CANTON RD NE SUITE 310
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City | MARIETTA
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State | GA
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Zip | 30060-7241
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Country | US
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Telephone | 770-426-6611
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Fax | 770-426-6611
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Provider Business Mailing Address
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Address Line | 975 EASTWIND DR SUITE 165
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City | WESTERVILLE
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State | OH
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Zip | 43081-5322
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Country | US
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Telephone | 877-753-3742
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Fax | 855-888-6947
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Authorized Official
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Title or Position | COMPLIANCE OFFICER
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Name | KATHLEEN JOLLY
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Credential |
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Telephone | 919-830-1543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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