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General NPI Number Information
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NPI Number | 1215167853
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Entity Type | Organization
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Legal Business Name | WHITNEY SLEEP ASSOCIATES LLC
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Dates
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Enumeration Date | 07/16/2009
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 2412 E 117TH ST
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City | BURNSVILLE
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State | MN
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Zip | 55337-4898
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Country | US
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Telephone | 952-891-1713
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Fax | 952-891-4625
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Provider Business Mailing Address
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Address Line | 2700 CAMPUS DR STE 100
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City | PLYMOUTH
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State | MN
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Zip | 55441-2601
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Country | US
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Telephone | 763-422-6734
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | COURTNEY WADE WHITNEY
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Credential | DO
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Telephone | 763-519-0634
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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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