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General NPI Number Information
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NPI Number | 1427436930
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Entity Type | Organization
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Legal Business Name | BROOKS HOME SLEEP STUDIES, LLC
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Dates
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Enumeration Date | 05/16/2015
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Last Update Date | 05/16/2015
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Provider Practice Location Address
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Address Line | BROOKS HOME SLEEP STUDIES LLC ULM, STUBBS HALL 203, 700 UNIVERSITY AVENUE
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City | MONROE
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State | LA
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Zip | 71209-6435
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Country | US
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Telephone | 318-342-1442
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Fax | 318-625-0605
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Provider Business Mailing Address
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Address Line | BROOKS HOME SLEEP STUDIES LLC ULM, STUBBS HALL 203, 700 UNIVERSITY AVENUE
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City | MONROE
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State | LA
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Zip | 71209-6435
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Country | US
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Telephone | 318-342-1442
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Fax | 318-625-0605
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Authorized Official
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Title or Position | OWNER/ PRESIDENT
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Name | MRS. MELISSA BYNES BROOKS
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Credential | MBA, RPSGT, CRT
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Telephone | 318-237-9776
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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 | 203139
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License Number State | LA
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