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General NPI Number Information
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NPI Number | 1205255882
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Entity Type | Organization
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Legal Business Name | SLEEP HEALTH NOW, LLC
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 04/10/2014
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Provider Practice Location Address
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Address Line | 14780 SW OSPREY DR STE 240A
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City | BEAVERTON
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State | OR
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Zip | 97007-8424
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Country | US
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Telephone | 503-713-3209
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Fax |
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Provider Business Mailing Address
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Address Line | 14780 SW OSPREY DR STE 240A
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City | BEAVERTON
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State | OR
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Zip | 97007-8424
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Country | US
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Telephone | 503-713-3209
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | PETER SCHORK
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Credential |
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Telephone | 503-726-2004
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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 | 261QS1200X
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License Number State | OR
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