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General NPI Number Information
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NPI Number | 1467635805
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Entity Type | Organization
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Legal Business Name | TOLEDO SLEEP DISORDERS CENTER
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Dates
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Enumeration Date | 12/07/2007
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Last Update Date | 12/07/2007
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Provider Practice Location Address
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Address Line | 2702 NAVARRE AVE SUITE 302
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City | OREGON
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State | OH
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Zip | 43616-3223
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Country | US
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Telephone | 419-693-9727
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Fax | 419-693-9737
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Provider Business Mailing Address
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Address Line | 1661 HOLLAND RD SUITE 300
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City | MAUMEE
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State | OH
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Zip | 43537
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Country | US
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Telephone | 419-794-8200
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Fax | 419-724-1892
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Authorized Official
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Title or Position | COO
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Name | MR. GEORGE R. MIKHAIL
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Credential |
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Telephone | 419-794-8200
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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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