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General NPI Number Information
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NPI Number | 1376618769
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Entity Type | Organization
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Legal Business Name | ADVANCED SLEEP CENTERS LLC
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 906 N SINCLAIR AVE
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City | TAVARES
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State | FL
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Zip | 32778-2454
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Country | US
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Telephone | 352-343-4500
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Fax | 352-343-4506
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Provider Business Mailing Address
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Address Line | 906 N SINCLAIR AVE
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City | TAVARES
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State | FL
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Zip | 32778
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Country | US
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Telephone | 352-343-4500
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Fax | 352-343-4506
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. STEPHEN R MCDONALD
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Credential |
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Telephone | 352-343-4500
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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 | HCC7365
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License Number State | FL
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