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General NPI Number Information
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NPI Number | 1629627245
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Entity Type | Organization
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Legal Business Name | HEALTHY SLEEP PARTNERS LLC
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Dates
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Enumeration Date | 09/06/2019
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Last Update Date | 09/06/2019
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Provider Practice Location Address
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Address Line | 5225 HICKORY PARK DR STE A
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City | GLEN ALLEN
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State | VA
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Zip | 23059-2620
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Country | US
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Telephone | 804-658-5272
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Fax | 540-693-2586
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Provider Business Mailing Address
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Address Line | 5225 HICKORY PARK DR STE A
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City | GLEN ALLEN
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State | VA
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Zip | 23059-2620
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Country | US
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Telephone | 804-658-5272
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Fax | 540-693-2586
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Authorized Official
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Title or Position | OWNER
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Name | DAVID NEEL
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Credential |
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Telephone | 804-658-5272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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