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General NPI Number Information
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NPI Number | 1306370283
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Entity Type | Organization
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Legal Business Name | SLEEP EZ FAMILY AND SLEEP HEALTH LLC
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Dates
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Enumeration Date | 04/17/2017
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Last Update Date | 02/26/2019
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Provider Practice Location Address
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Address Line | 13241 BARTRAM PARK BLVD UNIT 2009
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City | JACKSONVILLE
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State | FL
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Zip | 32258-5223
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Country | US
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Telephone | 833-417-5337
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Fax | 904-930-4222
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Provider Business Mailing Address
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Address Line | 13241 BARTRAM PARK BLVD UNIT 2009
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City | JACKSONVILLE
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State | FL
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Zip | 32258-5223
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Country | US
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Telephone | 833-417-5337
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Fax | 904-930-4222
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | WENDY C LU
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Credential |
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Telephone | 904-221-2535
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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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