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General NPI Number Information
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NPI Number | 1659472850
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Entity Type | Organization
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Legal Business Name | DELTA SLEEP INC,
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3510 HOBSON RD SUITE 202
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City | WOODRIDGE
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State | IL
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Zip | 60517-1439
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Country | US
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Telephone | 630-960-2727
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Fax | 630-960-2715
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Provider Business Mailing Address
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Address Line | 3510 HOBSON RD SUITE 202
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City | WOODRIDGE
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State | IL
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Zip | 60517-1439
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Country | US
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Telephone | 630-960-2727
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Fax | 630-960-2715
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Authorized Official
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Title or Position | OWNER
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Name | MR. LAURENCE G. LEHANE
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Credential | RCP
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Telephone | 630-960-2727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 203000720
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License Number State | IL
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