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General NPI Number Information
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NPI Number | 1285035832
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Entity Type | Organization
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Legal Business Name | TOTAL HEALTH SLEEP SOLUTIONS INC
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Dates
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Enumeration Date | 09/12/2014
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Last Update Date | 01/06/2015
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Provider Practice Location Address
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Address Line | 87 S MCLEAN BLVD
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City | SOUTH ELGIN
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State | IL
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Zip | 60177-1835
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Country | US
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Telephone | 847-888-8311
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Fax |
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Provider Business Mailing Address
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Address Line | 87 S MCLEAN BLVD
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City | SOUTH ELGIN
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State | IL
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Zip | 60177-1835
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Country | US
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Telephone | 847-888-8311
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANTHONY R BENNARDO JR.
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Credential | D.D.S.
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Telephone | 847-888-8311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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