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General NPI Number Information
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NPI Number | 1184021990
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Entity Type | Organization
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Legal Business Name | PROSLEEP CENTERS INC
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Dates
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Enumeration Date | 11/21/2014
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Last Update Date | 05/26/2016
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Provider Practice Location Address
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Address Line | 2669 UNION LAKE RD SUITE B
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City | COMMERCE TOWNSHIP
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State | MI
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Zip | 48382-3590
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Country | US
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Telephone | 248-956-0900
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Fax |
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Provider Business Mailing Address
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Address Line | 2669 UNION LAKE RD SUITE B
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City | COMMERCE TOWNSHIP
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State | MI
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Zip | 48382-3590
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Country | US
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Telephone | 248-956-0900
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Fax |
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Authorized Official
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Title or Position | SP
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Name | WILSON JAMES
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Credential |
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Telephone | 248-956-0900
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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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Taxonomy #2
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Taxonomy Code | 173F00000X
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Taxonomy Name | Sleep Specialist (PhD)
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License Number |
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License Number State |
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