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General NPI Number Information
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NPI Number | 1619004512
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Entity Type | Organization
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Legal Business Name | AUBURN SLEEP LABS, LLC
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 01/24/2012
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Provider Practice Location Address
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Address Line | 27101 SCHOENHERR RD SUITE 200
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City | WARREN
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State | MI
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Zip | 48088-4730
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Country | US
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Telephone | 586-754-7533
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Fax | 586-754-7227
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Provider Business Mailing Address
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Address Line | 27101 SCHOENHERR RD SUITE 200
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City | WARREN
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State | MI
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Zip | 48088-4730
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Country | US
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Telephone | 586-754-7533
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Fax | 586-754-7227
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Authorized Official
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Title or Position | MANAGING PHYSICIAN
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Name | DR. VAQAR SIDDIQUI
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Credential | MD
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Telephone | 586-754-7533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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