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General NPI Number Information
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NPI Number | 1407755945
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Entity Type | Organization
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Legal Business Name | 1SLEEPERLLC
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 405 S 3RD ST
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City | IRONTON
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State | OH
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Zip | 45638-1730
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Country | US
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Telephone | 606-324-2451
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Fax |
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Provider Business Mailing Address
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Address Line | 674 MEADOW LN
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City | ONA
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State | WV
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Zip | 25545-7452
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Country | US
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Telephone | 304-617-0403
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAMARA S MINNIX
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Credential | APRN/CRNA
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Telephone | 304-617-0403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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