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General NPI Number Information
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NPI Number | 1275922601
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Entity Type | Organization
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Legal Business Name | PREMIER HOME SLEEP TESTING
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Dates
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Enumeration Date | 01/22/2015
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Last Update Date | 01/30/2015
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Provider Practice Location Address
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Address Line | 644 MONTE VISTA DR
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City | TWIN FALLS
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State | ID
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Zip | 83301-4345
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Country | US
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Telephone | 208-404-3153
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Fax |
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Provider Business Mailing Address
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Address Line | 644 MONTE VISTA DR
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City | TWIN FALLS
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State | ID
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Zip | 83301-4345
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Country | US
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Telephone | 208-404-3153
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DARREN T ROBINSON
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Credential | RT
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Telephone | 208-404-3153
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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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