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1699908657 NPI number — SLEEP ASSOCIATES OF CONNECTICUT, INC.

NPI Number: 1699908657
Health Care Provider/Practitioner: SLEEP ASSOCIATES OF CONNECTICUT, INC.

Information about “1699908657” NPI (SLEEP ASSOCIATES OF CONNECTICUT, INC.) exists in 1699908657 in HTML format HTML  |  1699908657 in plain Text format TXT  |  1699908657 in PDF (Portable Document Format) PDF  |  1699908657 in an XML format XML  formats.

NPI Number : 1699908657 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699908657",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SLEEP ASSOCIATES OF CONNECTICUT, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "687 CAMPBELL AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WEST HAVEN",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06516-3774",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-786-5068",
    "MailingAddressFaxNumber": "203-786-5168",
    "FirstLinePracticeLocationAddress": "687 CAMPBELL AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WEST HAVEN",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06516-3774",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-786-5068",
    "PracticeLocationAddressFaxNumber": "203-786-5168",
    "EnumerationDate": "08/25/2009",
    "LastUpdateDate": "08/25/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SIDANA",
    "AuthorizedOfficialFirstName": "JASDEEP",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "203-786-5068",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QS1200X",
        "TaxonomyName": "Sleep Disorder Diagnostic Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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