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General NPI Number Information
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NPI Number | 1437456076
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Entity Type | Organization
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Legal Business Name | PHYHEALTH SLEEP CARE CORPORATION
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Dates
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Enumeration Date | 02/17/2011
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Last Update Date | 03/08/2011
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Provider Practice Location Address
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Address Line | 1325 DRY CREEK DR SUITE #303
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City | LONGMONT
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State | CO
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Zip | 80503-7731
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Country | US
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Telephone | 720-684-6167
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Fax | 303-684-6059
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Provider Business Mailing Address
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Address Line | 1325 DRY CREEK DR SUITE #303
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City | LONGMONT
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State | CO
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Zip | 80503-7731
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Country | US
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Telephone | 720-684-6167
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Fax | 303-684-6059
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Authorized Official
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Title or Position | CONSULTANT
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Name | MS. CAROLYN KAY STANLEY
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Credential |
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Telephone | 303-659-5800
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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 | 20101632740
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License Number State | CO
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