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General NPI Number Information
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NPI Number | 1578940052
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Entity Type | Organization
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Legal Business Name | ISLEEP-USA, LLC
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Dates
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Enumeration Date | 05/04/2015
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Last Update Date | 08/31/2015
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Provider Practice Location Address
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Address Line | 1925 ADAM CLAYTON POWELL JUNIOR BOULEVARD SUITE 1-I
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City | NEW YORK
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State | NY
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Zip | 10026-2225
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Country | US
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Telephone | 855-646-3700
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Fax | 855-646-3737
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Provider Business Mailing Address
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Address Line | 1925 ADAM CLAYTON POWELL JUNIOR BOULEVARD SUITE 1-I
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City | NEW YORK
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State | NY
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Zip | 10026-2225
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Country | US
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Telephone | 855-646-3700
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Fax | 855-646-3737
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Authorized Official
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Title or Position | PRESIDENT
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Name | DIMITRY KARGMEN
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Credential |
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Telephone | 855-646-3700
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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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