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General NPI Number Information
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NPI Number | 1518026897
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Entity Type | Organization
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Legal Business Name | WESTERN SLEEP MEDICINE, LLC
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 11/30/2022
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Provider Practice Location Address
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Address Line | 2855 10TH ST STE A
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City | GERING
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State | NE
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Zip | 69341-2202
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Country | US
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Telephone | 308-633-3000
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Fax | 308-633-3001
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Provider Business Mailing Address
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Address Line | 2855 10TH ST STE A
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City | GERING
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State | NE
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Zip | 69341-2202
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Country | US
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Telephone | 308-633-3000
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Fax | 308-633-3001
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Authorized Official
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Title or Position | OWNER
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Name | MARK ALAN SCHULTZ
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Credential | RPSGT
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Telephone | 308-633-3000
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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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