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General NPI Number Information
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NPI Number | 1316826738
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Entity Type | Organization
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Legal Business Name | MINIS MAGNIFICENT LLC
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 5226 MAIN ST STE D6
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City | SPRING HILL
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State | TN
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Zip | 37174-4214
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Country | US
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Telephone | 615-302-8036
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Fax |
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Provider Business Mailing Address
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Address Line | 1003 CANDYTUFT CT
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City | FRANKLIN
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State | TN
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Zip | 37067-8607
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Country | US
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Telephone | 615-302-8036
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SOWMINI OOMMAN
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Credential |
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Telephone | 615-302-8039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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