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General NPI Number Information
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NPI Number | 1376509513
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Entity Type | Organization
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Legal Business Name | SLEEP SOLUTIONS OF ACADIANA, LLC
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 1100 ANDRE ST
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City | NEW IBERIA
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State | LA
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Zip | 70563-2159
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Country | US
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Telephone | 337-364-8500
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 ANDRE ST
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City | NEW IBERIA
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State | LA
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Zip | 70563-2159
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Country | US
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Telephone | 337-364-8500
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JAMES DARVIN HALES
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Credential | D.O.
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Telephone | 337-364-8500
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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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