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General NPI Number Information
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NPI Number | 1215066295
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Entity Type | Organization
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Legal Business Name | SLEEP INSTITUTE OF AUGUSTA
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3685 WHEELER RD SUITE 101
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City | AUGUSTA
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State | GA
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Zip | 30909-6446
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Country | US
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Telephone | 706-868-8555
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Fax |
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Provider Business Mailing Address
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Address Line | 3685 WHEELER RD SUITE 101
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City | AUGUSTA
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State | GA
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Zip | 30909-6446
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Country | US
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Telephone | 706-868-8555
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. BASHIR A CHAUDHARY
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Credential | MD
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Telephone | 706-868-8555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 018625
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License Number State | GA
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