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General NPI Number Information
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NPI Number | 1639534332
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Entity Type | Organization
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Legal Business Name | SWEET SLEEP STUDIO, LLC
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Dates
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Enumeration Date | 12/22/2015
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Last Update Date | 12/22/2015
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Provider Practice Location Address
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Address Line | 7410 SWITZER ST
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City | SHAWNEE
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State | KS
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Zip | 66203-4550
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Country | US
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Telephone | 716-573-6902
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Fax |
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Provider Business Mailing Address
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Address Line | 15700 EBY ST
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City | OVERLAND PARK
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State | KS
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Zip | 66221-9309
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Country | US
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Telephone | 913-766-1700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ABID BHAT
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Credential | MD
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Telephone | 716-573-6902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 04-32237
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License Number State | KS
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