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General NPI Number Information
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NPI Number | 1497922314
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Entity Type | Organization
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Legal Business Name | SLEEP SOLUTIONS AT DOCERE
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Dates
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Enumeration Date | 05/09/2008
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Last Update Date | 05/09/2008
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Provider Practice Location Address
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Address Line | 10633 PEARL RD
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City | STRONGSVILLE
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State | OH
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Zip | 44136-1405
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Country | US
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Telephone | 440-212-7677
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Fax | 440-212-7751
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Provider Business Mailing Address
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Address Line | 10633 PEARL RD
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City | STRONGSVILLE
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State | OH
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Zip | 44136-1405
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Country | US
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Telephone | 440-212-7677
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Fax | 440-212-7751
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. JEFFREY VISCOMI
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Credential | MD
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Telephone | 440-846-6963
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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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