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General NPI Number Information
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NPI Number | 1649648627
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Entity Type | Organization
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Legal Business Name | SLEEP APNEA INSTITUTE OF SARASOTA INC
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Dates
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Enumeration Date | 09/09/2015
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Last Update Date | 09/09/2015
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Provider Practice Location Address
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Address Line | 560 N WASHINGTON BLVD STE B
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City | SARASOTA
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State | FL
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Zip | 34236-4253
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Country | US
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Telephone | 941-955-7344
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Fax |
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Provider Business Mailing Address
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Address Line | 1419 BURGOS DR
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City | SARASOTA
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State | FL
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Zip | 34238-2705
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Country | US
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Telephone | 941-539-9718
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. JAMES T. CANNON
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Credential | D.M.D
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Telephone | 941-539-9718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DN15542
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License Number State | FL
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