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General NPI Number Information
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NPI Number | 1356246896
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Entity Type | Organization
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Legal Business Name | SLEEP CLINICS OF OREGON PC
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Dates
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Enumeration Date | 10/13/2026
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Last Update Date | 10/15/2026
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Provider Practice Location Address
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Address Line | 1100 LUDLOW ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4242
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Country | US
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Telephone | 804-269-8291
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 42557
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City | BELFAST
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State | ME
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Zip | 04915-1277
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | IKSHVANKU A. BAROT
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Credential |
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Telephone | 804-269-8291
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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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