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General NPI Number Information
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NPI Number | 1396912135
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Entity Type | Organization
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Legal Business Name | COVENANT SLEEP THERAPEUTICS
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Dates
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Enumeration Date | 05/12/2008
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Last Update Date | 05/12/2008
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Provider Practice Location Address
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Address Line | 2580 JACKSON AVE W SUITE 37
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City | OXFORD
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State | MS
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Zip | 38655-5489
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Country | US
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Telephone | 662-536-7807
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Fax |
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Provider Business Mailing Address
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Address Line | 2580 JACKSON AVE W SUITE 37
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City | OXFORD
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State | MS
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Zip | 38655-5489
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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 | DIRECTOR OF CLINICAL AFFAIRS
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Name | MR. BRIAN CURTIS REDDEN I
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Credential |
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Telephone | 662-236-7807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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