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General NPI Number Information
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NPI Number | 1679759153
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Entity Type | Organization
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Legal Business Name | SLEEPTECH, LLC
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Dates
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Enumeration Date | 01/15/2008
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Last Update Date | 02/07/2008
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Provider Practice Location Address
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Address Line | 421 E BETTERAVIA RD SUITE 101
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City | SANTA MARIA
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State | CA
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Zip | 93454-7897
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Country | US
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Telephone | 805-352-1111
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Fax | 805-352-1120
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Provider Business Mailing Address
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Address Line | 1680 ROUTE 23 SUITE 400
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City | WAYNE
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State | NJ
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Zip | 07470-7501
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Country | US
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Telephone | 973-838-6444
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Fax | 973-850-7118
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KEVIN KELLY
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Credential |
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Telephone | 973-838-6444
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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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