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NPI 1336071174

NPI 1336071174 : SLEEP NEURO MOBILE LLC : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1336071174
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    Entity Type          |    Organization 
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    Legal Business Name  |    SLEEP NEURO MOBILE LLC 
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Dates
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    Enumeration Date     |    06/03/2026
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    Last Update Date     |    06/03/2026
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Provider Practice Location Address
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    Address Line         |    1782 W FLAGLER ST 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33135-2017
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    Country              |    US
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    Telephone            |    616-432-0985
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    Fax                  |    305-998-4963
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Provider Business Mailing Address
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    Address Line         |    1782 W FLAGLER ST 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33135-2017
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    Country              |    US
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    Telephone            |    616-432-0985
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    Fax                  |    305-998-4963
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Authorized Official
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    Title or Position    |    MGR
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    Name                 |     JULIO A HERRERA 
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    Credential           |    
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    Telephone            |    616-432-0985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207QS1201X
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    Taxonomy Name        |    Sleep Medicine (Family Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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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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Taxonomy #3
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    Taxonomy Code        |    227800000X
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    Taxonomy Name        |    Certified Respiratory Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    207RS0012X
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    Taxonomy Name        |    Sleep Medicine (Internal Medicine) Physician
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    License Number       |    
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    License Number State |    
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