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General NPI Number Information
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NPI Number | 1336268739
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Entity Type | Organization
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Legal Business Name | REST TECHNOLOGIES OF CENTRAL OHIO, L.L.C.
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1249 HILL RD N SUITE E
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City | PICKERINGTON
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State | OH
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Zip | 43147-8875
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Country | US
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Telephone | 740-407-3298
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Fax | 740-205-2862
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Provider Business Mailing Address
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Address Line | 1249 HILL RD N SUITE E
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City | PICKERINGTON
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State | OH
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Zip | 43147-8875
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Country | US
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Telephone | 740-407-3298
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Fax | 740-205-2862
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS-OHIO
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Name | MR. ANDREW THOMAS BOWMAN
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Credential | CRT, RCP, RPSGT
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Telephone | 740-277-8727
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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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