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General NPI Number Information
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NPI Number | 1518514116
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Entity Type | Organization
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Legal Business Name | DELAWARE SLEEP DISORDER CENTERS, LLC
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Dates
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Enumeration Date | 08/20/2019
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Last Update Date | 08/20/2019
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Provider Practice Location Address
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Address Line | 2116 S DUPONT HWY STE 3
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City | CAMDEN
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State | DE
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Zip | 19934-1259
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Country | US
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Telephone | 302-652-5109
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Fax | 302-286-7800
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Provider Business Mailing Address
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Address Line | 261 CHAPMAN RD STE 100
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City | NEWARK
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State | DE
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Zip | 19702-5426
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Country | US
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Telephone | 302-652-5109
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Fax | 302-286-7800
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Authorized Official
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Title or Position | CEO
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Name | LYRON ANDRE DEPUTY
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Credential |
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Telephone | 302-652-5109
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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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