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General NPI Number Information
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NPI Number | 1154656411
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Entity Type | Organization
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Legal Business Name | REGIONAL HEALTH DIAGNOSTICS INC
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Dates
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Enumeration Date | 10/05/2009
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Last Update Date | 02/01/2019
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Provider Practice Location Address
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Address Line | 38 OFFICE PARK DR
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City | JACKSONVILLE
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State | NC
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Zip | 28546-3217
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Country | US
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Telephone | 910-333-8947
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Fax | 910-333-1266
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Provider Business Mailing Address
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Address Line | PO BOX 1712
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City | KERNERSVILLE
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State | NC
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Zip | 27285-1712
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Country | US
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Telephone | 336-310-4712
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Fax | 704-949-2610
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFF S RAGAN
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Credential | RPSGT
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Telephone | 336-345-0678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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Taxonomy #2
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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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