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General NPI Number Information
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NPI Number | 1639453764
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Entity Type | Organization
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Legal Business Name | SLEEP WELL SERVICES INC
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Dates
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Enumeration Date | 10/07/2011
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Last Update Date | 10/07/2011
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Provider Practice Location Address
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Address Line | 4601 FAIRFAX DR SUITE 1200
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City | ARLINGTON
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State | VA
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Zip | 22203-1500
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Country | US
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Telephone | 571-439-5679
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Fax | 888-522-5591
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Provider Business Mailing Address
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Address Line | 43129 TALL PINES CT
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City | ASHBURN
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State | VA
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Zip | 20147-6601
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Country | US
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Telephone | 571-439-5679
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Fax | 888-522-5591
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | CHARU SABHARWAL
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Credential | MD
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Telephone | 571-439-5679
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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 | 101240822
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License Number State | VA
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