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General NPI Number Information
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NPI Number | 1497858385
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Entity Type | Organization
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Legal Business Name | KENTUCKY SLEEP CLINIC, PSC
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1911 NORTH HIGHWAY 15 STE. A
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City | HAZARD
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State | KY
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Zip | 41701
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Country | US
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Telephone | 606-435-1889
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Fax | 606-439-0077
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Provider Business Mailing Address
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Address Line | 200 MEDICAL CENTER DR STE. 2M
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City | HAZARD
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State | KY
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Zip | 41701-9466
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Country | US
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Telephone | 606-487-1818
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Fax | 606-487-8448
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FIRAS KOURA
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Credential | MD
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Telephone | 606-435-1889
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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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