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General NPI Number Information
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NPI Number | 1215102546
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Entity Type | Organization
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Legal Business Name | PREMIER SLEEP SERVICES, LLC
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Dates
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Enumeration Date | 04/28/2008
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Last Update Date | 02/06/2013
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Provider Practice Location Address
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Address Line | 1928 RANDOLPH RD SUITE 111
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City | CHARLOTTE
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State | NC
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Zip | 28207-1105
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Country | US
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Telephone | 704-688-0803
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Fax | 704-333-0115
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Provider Business Mailing Address
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Address Line | PO BOX 20048
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City | CHARLESTON
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State | WV
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Zip | 25362-1048
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Country | US
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Telephone | 304-720-1981
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Fax | 304-720-1874
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | JOHN E. BARGER III
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Credential |
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Telephone | 800-486-2620
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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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