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General NPI Number Information
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NPI Number | 1457687196
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Entity Type | Organization
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Legal Business Name | THE RELAX EZ SLEEP SYSTEM LLC
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Dates
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Enumeration Date | 10/31/2009
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Last Update Date | 11/05/2009
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Provider Practice Location Address
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Address Line | 1001 GARDEN VIEW DR NE SUITE 1105
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City | ATLANTA
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State | GA
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Zip | 30319-5825
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Country | US
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Telephone | 404-494-0194
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Fax | 188-354-3874
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Provider Business Mailing Address
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Address Line | 1001 GARDEN VIEW DR NE SUITE 1105
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City | ATLANTA
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State | GA
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Zip | 30319-5825
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Country | US
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Telephone | 404-494-0194
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Fax | 188-354-3874
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Authorized Official
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Title or Position | OWNER/ACCOUNT EXECUTIVE
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Name | ANDREA SHEMIA PEGUES
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Credential |
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Telephone | 404-494-0194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | GA
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