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General NPI Number Information
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NPI Number | 1558660944
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Entity Type | Organization
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Legal Business Name | SLEEP DIAGNOSTICS OF KENTUCKY, INC
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Dates
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Enumeration Date | 03/24/2011
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Last Update Date | 03/24/2011
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Provider Practice Location Address
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Address Line | 606A KNOX STREET
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City | BARBOURVILLE
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State | KY
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Zip | 40906
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Country | US
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Telephone | 606-277-0060
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Fax | 606-277-0062
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Provider Business Mailing Address
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Address Line | 234 SEVEN SPRINGS LOOP
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City | STATESVILLE
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State | NC
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Zip | 28625-9150
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Country | US
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Telephone | 606-277-0060
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Fax | 606-277-0062
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JEFFREY SCOTT TAYLOR
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Credential |
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Telephone | 704-880-4184
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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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