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General NPI Number Information
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NPI Number | 1487867156
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Entity Type | Organization
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Legal Business Name | GOOD LUCK SLEEP CENTER
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 02/13/2008
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Provider Practice Location Address
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Address Line | 9801 GREENBELT RD STE 101
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City | LANHAM
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State | MD
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Zip | 20706-6264
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Country | US
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Telephone | 301-552-6666
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Fax | 301-552-6216
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Provider Business Mailing Address
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Address Line | 9801 GREENBELT RD STE 101
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City | LANHAM
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State | MD
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Zip | 20706-6264
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Country | US
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Telephone | 301-552-6666
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | SHIMELLIS ALEMAYEHU
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Credential | MD
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Telephone | 301-552-6666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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