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General NPI Number Information
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NPI Number | 1174924211
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Entity Type | Organization
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Legal Business Name | SLEEPWELLNY LTD.
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Dates
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Enumeration Date | 09/09/2014
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Last Update Date | 09/09/2014
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Provider Practice Location Address
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Address Line | 230 HILTON AVE STE 212
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City | HEMPSTEAD
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State | NY
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Zip | 11550-8115
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Country | US
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Telephone | 516-500-9966
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Fax |
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Provider Business Mailing Address
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Address Line | 585 HAWTHORNE ST
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-3111
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN REICHMAN
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Credential | DDS
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Telephone | 516-707-0272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 038924
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License Number State | NY
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