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General NPI Number Information
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NPI Number | 1144642083
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Entity Type | Organization
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Legal Business Name | CEDAR VALLEY SLEEP CENTER
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Dates
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Enumeration Date | 01/13/2014
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Last Update Date | 05/05/2014
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Provider Practice Location Address
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Address Line | 2413 W RIDGEWAY AVE SUITE 1
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City | WATERLOO
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State | IA
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Zip | 50701-4306
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Country | US
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Telephone | 319-505-2896
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Fax | 319-505-2898
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Provider Business Mailing Address
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Address Line | 2413 W RIDGEWAY AVE SUITE 1
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City | WATERLOO
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State | IA
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Zip | 50701-4306
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Country | US
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Telephone | 319-505-2896
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Fax | 319-505-2898
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. STEPHEN ELDER
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Credential | RRT
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Telephone | 319-530-3168
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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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