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General NPI Number Information
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NPI Number | 1568780831
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Entity Type | Organization
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Legal Business Name | HOME SLEEP DELIVERED, LLC
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Dates
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Enumeration Date | 05/12/2010
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Last Update Date | 07/12/2024
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Provider Practice Location Address
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Address Line | 625 E KALISTE SALOOM RD
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City | LAFAYETTE
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State | LA
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Zip | 70508-2540
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Country | US
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Telephone | 337-857-3646
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Fax | 337-857-3514
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Provider Business Mailing Address
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Address Line | 625 E KALISTE SALOOM RD
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City | LAFAYETTE
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State | LA
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Zip | 70508-2540
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Country | US
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Telephone | 337-857-3646
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Fax | 337-857-3514
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Authorized Official
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Title or Position | CHIEF COMPLIANCE OFFICER
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Name | MR. DANIEL BRETT STOUTE
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Credential |
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Telephone | 337-500-1977
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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 | LA
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