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General NPI Number Information
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NPI Number | 1629125307
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Entity Type | Organization
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Legal Business Name | AMERICAN SLEEP INSTITUTE, INC
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 07/20/2007
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Provider Practice Location Address
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Address Line | 7150 W 20TH AVE SUITE 510
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City | HIALEAH
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State | FL
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Zip | 33016-5529
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Country | US
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Telephone | 305-702-9510
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Fax | 305-702-9512
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Provider Business Mailing Address
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Address Line | 7150 W 20TH AVE SUITE 510
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City | HIALEAH
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State | FL
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Zip | 33016-5529
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Country | US
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Telephone | 305-702-9510
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Fax | 305-702-9512
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. JUDITH CRUZ NEGRON
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Credential | LMHC
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Telephone | 305-702-9510
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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 | HCC6460
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License Number State | FL
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