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General NPI Number Information
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NPI Number | 1265043897
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Entity Type | Organization
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Legal Business Name | BLACKSTONE MEDICAL SERVICES LLC
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Dates
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Enumeration Date | 08/17/2020
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 4000 BLACKBURN LN STE 210
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City | BURTONSVILLE
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State | MD
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Zip | 20866-6128
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Country | US
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Telephone | 240-390-3136
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Fax | 813-682-3989
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Provider Business Mailing Address
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Address Line | 4030 HENDERSON BLVD STE 145
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City | TAMPA
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State | FL
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Zip | 33629-4940
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Country | US
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Telephone | 813-831-2727
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Fax | 813-682-3989
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LINDSEY SHINHOLSER
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Credential |
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Telephone | 813-831-2727
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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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