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General NPI Number Information
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NPI Number | 1467408088
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Entity Type | Organization
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Legal Business Name | THE SLEEP MEDICINE CENTER INC
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 06/06/2012
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Provider Practice Location Address
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Address Line | 200 COMMONS WAY SUITE C
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City | KALISPELL
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State | MT
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Zip | 59901
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Country | US
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Telephone | 406-752-1729
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Fax | 406-752-2519
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Provider Business Mailing Address
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Address Line | 200 COMMONS WAY SUITE C
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City | KALISPELL
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State | MT
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Zip | 59901
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Country | US
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Telephone | 406-752-1729
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Fax | 406-752-2519
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Authorized Official
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Title or Position | OWNER
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Name | PATRICK J BURNS
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Credential | DO
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Telephone | 406-752-1729
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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 | 5007
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License Number State | MT
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