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General NPI Number Information
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NPI Number | 1629069356
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Entity Type | Organization
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Legal Business Name | MIDSTATE SLEEP CENTER
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 110 29TH AVE N SUITE 300
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City | NASHVILLE
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State | TN
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Zip | 37203-1401
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Country | US
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Telephone | 615-425-4363
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Fax | 615-250-4925
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Provider Business Mailing Address
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Address Line | 110 29TH AVE N SUITE 300
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City | NASHVILLE
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State | TN
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Zip | 37203-1401
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Country | US
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Telephone | 615-425-4363
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Fax | 615-250-4925
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | FAYE NALL
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Credential |
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Telephone | 615-425-4363
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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 | TN
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