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General NPI Number Information
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NPI Number | 1528920527
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Entity Type | Organization
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Legal Business Name | PROMED SLEEP CENTER LLC
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Dates
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Enumeration Date | 11/27/2025
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 6125 GREEN BAY RD STE 600
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City | KENOSHA
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State | WI
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Zip | 53142-2902
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Country | US
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Telephone | 414-687-6430
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Fax |
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Provider Business Mailing Address
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Address Line | 2811 MILTON AVE STE 139
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City | JANESVILLE
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State | WI
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Zip | 53545-0252
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | KABIR AHMED
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Credential | MD
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Telephone | 414-229-9637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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