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General NPI Number Information
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NPI Number | 1346289410
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Entity Type | Organization
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Legal Business Name | MANSFIELD SLEEP DISORDERS, LLC
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 800 PARK AVENUE WEST SUITE 100
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City | MANSFIELD
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State | OH
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Zip | 44906-3019
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Country | US
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Telephone | 419-522-2990
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Fax | 419-522-2364
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Provider Business Mailing Address
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Address Line | 2500 CORPORATE EXCHANGE DRIVE SUITE 100
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City | COLUMBUS
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State | OH
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Zip | 43231-7601
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Country | US
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Telephone | 614-794-4500
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Fax | 614-794-4976
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANA HAROLD ANDREWS
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Credential | MD
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Telephone | 419-756-9995
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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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