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General NPI Number Information
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NPI Number | 1235631102
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Entity Type | Organization
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Legal Business Name | ALPHA MEDICAL SOLUTIONS
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Dates
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Enumeration Date | 03/06/2018
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Last Update Date | 12/05/2022
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Provider Practice Location Address
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Address Line | 36468 EMERALD COAST PKWY STE 2203
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City | DESTIN
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State | FL
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Zip | 32541-4755
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Country | US
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Telephone | 904-874-2325
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Fax | 904-800-6598
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Provider Business Mailing Address
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Address Line | PO BOX 6902
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City | MIRAMAR BEACH
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State | FL
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Zip | 32550-1006
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Country | US
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Telephone | 904-874-2325
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Fax | 904-800-6598
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MICHAEL DANGERFIELD
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Credential |
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Telephone | 904-874-2325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZE0500X
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Taxonomy Name | EEG Specialist/Technologist
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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