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General NPI Number Information
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NPI Number | 1669232716
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Entity Type | Organization
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Legal Business Name | OWN SLEEP MEDICINE SERVICES LLC
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Dates
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Enumeration Date | 03/19/2024
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Last Update Date | 03/19/2024
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Provider Practice Location Address
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Address Line | 360 CENTRAL AVE STE 800
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City | ST PETERSBURG
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State | FL
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Zip | 33701-3984
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Country | US
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Telephone | 833-777-1069
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Fax | 833-777-2969
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Provider Business Mailing Address
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Address Line | 360 CENTRAL AVE STE 800
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City | ST PETERSBURG
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State | FL
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Zip | 33701-3984
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Country | US
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Telephone | 833-777-1069
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Fax | 833-777-2969
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Authorized Official
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Title or Position | BUSINESS ADMINISTRATOR
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Name | MR. NOLAN CLINT HOOPER
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Credential |
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Telephone | 833-777-1069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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