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General NPI Number Information
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NPI Number | 1376518043
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Entity Type | Organization
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Legal Business Name | INTEGRATED SLEEP RESOURCES, INC.
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Dates
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Enumeration Date | 02/17/2006
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Last Update Date | 12/19/2016
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Provider Practice Location Address
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Address Line | 10551 BARKLEY ST STE 106
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City | OVERLAND PARK
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State | KS
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Zip | 66212-1812
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Country | US
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Telephone | 888-448-6664
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Fax | 888-582-2254
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Provider Business Mailing Address
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Address Line | 10551 BARKLEY ST STE 106
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City | OVERLAND PARK
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State | KS
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Zip | 66212-1812
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Country | US
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Telephone | 888-448-6664
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Fax | 888-582-2254
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Authorized Official
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Title or Position | PRESIDENT/GM
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Name | MR. JOHN MARK BLOSSER
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Credential | BSW
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Telephone | 903-357-3391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 16-101174
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License Number State | KS
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