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General NPI Number Information
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NPI Number | 1194493338
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Entity Type | Organization
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Legal Business Name | JUST SLEEP, LLC
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Dates
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Enumeration Date | 09/02/2021
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Last Update Date | 09/02/2021
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Provider Practice Location Address
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Address Line | 4747 S PRIMROSE DR
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City | GOLD CANYON
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State | AZ
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Zip | 85118-5901
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Country | US
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Telephone | 480-634-3861
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Fax |
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Provider Business Mailing Address
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Address Line | 5301 S SUPERSTITION MOUNTAIN DR STE 222
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City | GOLD CANYON
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State | AZ
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Zip | 85118-1919
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Country | US
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Telephone | 480-634-3861
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JAYMES SHAW
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Credential |
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Telephone | 480-634-3861
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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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