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General NPI Number Information
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NPI Number | 1619221942
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Entity Type | Organization
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Legal Business Name | SANA-THE SLEEP LLC
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Dates
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Enumeration Date | 11/08/2012
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Last Update Date | 11/29/2012
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Provider Practice Location Address
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Address Line | 3196 KENNEDY BLVD THIRD FLOOR
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City | UNION CITY
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State | NJ
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Zip | 07087-2436
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Country | US
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Telephone | 201-766-6688
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Fax | 201-766-6689
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Provider Business Mailing Address
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Address Line | 3196 KENNEDY BLVD THIRD FLOOR
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City | UNION CITY
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State | NJ
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Zip | 07087-2436
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Country | US
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Telephone | 201-766-6688
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Fax | 201-766-6689
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ANDREW H THE
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Credential | .M.D.
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Telephone | 201-766-6688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 25MA08785100
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License Number State | NJ
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