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General NPI Number Information
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NPI Number | 1457315053
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Entity Type | Organization
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Legal Business Name | LIVONIA SLEEP CENTER LLC
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Dates
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Enumeration Date | 04/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 17880 FARMINGTON RD BLDG B
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City | LIVONIA
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State | MI
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Zip | 48152-3104
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Country | US
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Telephone | 248-465-1848
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Fax | 248-380-8620
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Provider Business Mailing Address
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Address Line | 3055 KETTERING BLVD SUITE 219
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City | DAYTON
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State | OH
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Zip | 45439-1900
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Country | US
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Telephone | 586-948-3803
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Fax | 586-948-3804
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | TIMOTHY B KERR
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Credential |
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Telephone | 248-755-5522
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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 |
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License Number State |
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