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General NPI Number Information
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NPI Number | 1245851633
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Entity Type | Organization
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Legal Business Name | SONNO DIAGNOSTICS LLC
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Dates
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Enumeration Date | 04/27/2020
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Last Update Date | 09/15/2020
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Provider Practice Location Address
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Address Line | 252 FARMDALE RD
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City | WATERTOWN
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State | CT
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Zip | 06795-2317
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Country | US
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Telephone | 203-206-1262
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Fax |
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Provider Business Mailing Address
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Address Line | 252 FARMDALE RD
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City | WATERTOWN
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State | CT
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Zip | 06795-2317
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Country | US
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Telephone | 203-206-1262
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | DEBORAH LUPO
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Credential |
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Telephone | 203-206-1262
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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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