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General NPI Number Information
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NPI Number | 1629337712
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Entity Type | Organization
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Legal Business Name | REM CENTER FOR SLEEP, INC.
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Dates
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Enumeration Date | 05/09/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 630 ONEEGA LN STE E
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City | ERWIN
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State | TN
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Zip | 37650-2199
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Country | US
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Telephone | 423-743-2330
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Fax | 423-743-5090
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Provider Business Mailing Address
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Address Line | 630 ONEEGA LN STE E
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City | ERWIN
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State | TN
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Zip | 37650-2199
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Country | US
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Telephone | 423-743-2330
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Fax | 423-743-5090
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN DWAYNE GLOVER
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Credential |
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Telephone | 423-743-2330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | TN
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