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General NPI Number Information
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NPI Number | 1306872965
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Entity Type | Organization
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Legal Business Name | SOMNO DIAGNOSTICS, LLC
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 01/20/2015
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Provider Practice Location Address
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Address Line | 16061 DOCTORS BOULEVARD
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City | HAMMOND
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State | LA
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Zip | 70403
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Country | US
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Telephone | 985-727-7900
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Fax | 985-727-7333
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Provider Business Mailing Address
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Address Line | P.O. BOX 1775
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City | MANDEVILLE
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State | LA
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Zip | 70470-1775
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Country | US
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Telephone | 985-727-7900
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Fax | 985-727-7333
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. MADELEINE MULA LEWIS
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Credential |
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Telephone | 985-727-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | LA
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Taxonomy #2
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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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