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General NPI Number Information
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NPI Number | 1477645620
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Entity Type | Organization
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Legal Business Name | SLEEPMED INC.
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 07/25/2007
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Provider Practice Location Address
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Address Line | 1333 TAYLOR ST SUITE 6B
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City | COLUMBIA
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State | SC
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Zip | 29201-2923
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Country | US
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Telephone | 803-296-5847
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Fax | 803-376-1876
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Provider Business Mailing Address
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Address Line | 700 GERVAIS ST SUITE 210
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City | COLUMBIA
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State | SC
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Zip | 29201-3047
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Country | US
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Telephone | 978-536-7400
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Fax | 978-535-9757
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Authorized Official
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Title or Position | EVP/CFO
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Name | MR. CARL R. IBERGER
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Credential |
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Telephone | 978-536-7400
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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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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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