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General NPI Number Information
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NPI Number | 1699012161
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Entity Type | Organization
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Legal Business Name | NEUROSLEEP MEDICAL CONSULTING SERVICES PLC
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Dates
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Enumeration Date | 01/03/2013
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Last Update Date | 01/03/2013
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Provider Practice Location Address
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Address Line | 8300 BOONE BLVD SUITE 130
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City | VIENNA
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State | VA
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Zip | 22182-2626
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Country | US
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Telephone | 703-448-7745
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Fax | 989-714-1034
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Provider Business Mailing Address
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Address Line | 8300 BOONE BLVD SUITE 130
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City | VIENNA
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State | VA
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Zip | 22182-2626
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Country | US
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Telephone | 703-448-7745
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Fax | 989-714-1034
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Authorized Official
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Title or Position | OWNER
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Name | PRANATHI KONDAPANENI
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Credential | MD
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Telephone | 703-448-7745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | 0101253013
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License Number State | VA
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