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General NPI Number Information
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NPI Number | 1265239107
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Entity Type | Organization
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Legal Business Name | ELAN SLEEP LLC
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 14190 ORCHARD PKWY STE 140
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City | WESTMINSTER
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State | CO
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Zip | 80023-9709
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Country | US
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Telephone | 720-279-9098
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Fax | 303-248-3589
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Provider Business Mailing Address
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Address Line | 1630 DRY CREEK DR STE 200
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City | LONGMONT
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State | CO
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Zip | 80503-6409
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Country | US
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Telephone | 720-279-9098
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Fax | 303-248-3589
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Authorized Official
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Title or Position | CEO
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Name | ADAM TROY WERTZ
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Credential |
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Telephone | 303-248-3581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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