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General NPI Number Information
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NPI Number | 1679871792
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE SLEEP SOLUTIONS & DIAGNOSTIC CENTER, LLC
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Dates
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Enumeration Date | 03/14/2011
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 27177 LAHSER RD 210
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City | SOUTHFIELD
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State | MI
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Zip | 48034-4714
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Country | US
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Telephone | 248-223-9747
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Fax | 313-226-0668
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Provider Business Mailing Address
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Address Line | 355 CHALFONTE AVE
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City | GROSSE POINTE FARMS
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State | MI
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Zip | 48236-2930
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Country | US
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Telephone | 313-510-9971
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Fax | 313-417-8090
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Authorized Official
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Title or Position | OWNER
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Name | MR. RODNEY MADDEN
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Credential |
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Telephone | 313-510-9971
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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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