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General NPI Number Information
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NPI Number | 1487666095
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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 | 08/12/2006
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Last Update Date | 10/15/2009
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Provider Practice Location Address
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Address Line | 102 CORPORATE SQ SUITE G & H
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City | DUBLIN
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State | GA
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Zip | 31021-4225
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Country | US
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Telephone | 800-770-5874
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Fax | 478-745-5125
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Provider Business Mailing Address
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Address Line | 60 CHASTAIN BLVD SUITE 66
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City | KENNESAW
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State | GA
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Zip | 30144
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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