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General NPI Number Information
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NPI Number | 1679392179
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Entity Type | Organization
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Legal Business Name | DARA ADVANCED SINUS BREATHING AND SLEEP SURGERY CENTERS INC
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Dates
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Enumeration Date | 10/10/2024
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 563 MAIN ST
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City | BOLTON
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State | MA
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Zip | 01740-1300
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Country | US
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Telephone | 978-705-2755
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Fax | 833-428-4152
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Provider Business Mailing Address
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Address Line | 563 MAIN ST
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City | BOLTON
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State | MA
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Zip | 01740-1300
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Country | US
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Telephone | 978-705-2755
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Fax | 833-428-4152
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Authorized Official
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Title or Position | SOLE OWNER
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Name | DR. MICHAEL SCHLEWET
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Credential | MD
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Telephone | 978-705-2755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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