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General NPI Number Information
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NPI Number | 1194951129
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Entity Type | Organization
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Legal Business Name | OCONEE SLEEP CENTER
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Dates
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Enumeration Date | 06/04/2009
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 602 CHURCH ST UNIT B
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City | VIDALIA
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State | GA
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Zip | 30474-4744
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Country | US
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Telephone | 912-388-4556
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Fax | 912-538-8404
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Provider Business Mailing Address
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Address Line | 602 CHURCH ST UNIT B
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City | VIDALIA
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State | GA
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Zip | 30474-4744
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Country | US
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Telephone | 912-388-4556
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Fax | 912-538-8404
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Authorized Official
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Title or Position | OPERATIONS MANAGER/CO-OWNER
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Name | MIKE S SHEHEE
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Credential |
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Telephone | 912-388-4556
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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 | GA
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