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General NPI Number Information
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NPI Number | 1285378927
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Entity Type | Organization
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Legal Business Name | HOLISTIC SLEEP CLINICS LLC
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Dates
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Enumeration Date | 04/27/2022
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Last Update Date | 04/27/2022
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Provider Practice Location Address
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Address Line | 3804 BARRINGTON HILL DR
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City | RICHMOND
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State | VA
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Zip | 23233-1126
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Country | US
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Telephone | 804-239-6468
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Fax | 949-437-3086
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Provider Business Mailing Address
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Address Line | 1602 BELLE VIEW BLVD STE 5070
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City | ALEXANDRIA
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State | VA
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Zip | 22307-6531
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | M TARUJ ALI
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Credential | MD
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Telephone | 804-802-5960
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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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