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General NPI Number Information
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NPI Number | 1376291849
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Entity Type | Organization
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Legal Business Name | SLEEPOLOGIE HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 03/14/2022
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Last Update Date | 07/01/2022
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Provider Practice Location Address
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Address Line | 2538 W PATTERSON AVE
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City | CHICAGO
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State | IL
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Zip | 60618-6077
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Country | US
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Telephone | 312-498-8927
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Fax |
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Provider Business Mailing Address
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Address Line | 2538 W PATTERSON AVE
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City | CHICAGO
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State | IL
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Zip | 60618-6077
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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 | OWNER
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Name | RAINA GUPTA
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Credential | MD
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Telephone | 312-498-8927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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