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General NPI Number Information
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NPI Number | 1699929992
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Entity Type | Organization
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Legal Business Name | ADVANCED SLEEP DIAGNOSTICS, INC.
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Dates
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Enumeration Date | 11/13/2008
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Last Update Date | 11/13/2008
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Provider Practice Location Address
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Address Line | 550 N SPRING ST
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City | SPARTA
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State | TN
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Zip | 38583-1330
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Country | US
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Telephone | 931-837-3336
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Fax | 931-837-3347
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Provider Business Mailing Address
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Address Line | 550 N SPRING ST
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City | SPARTA
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State | TN
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Zip | 38583-1330
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Country | US
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Telephone | 931-837-3336
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Fax | 931-837-3347
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | REED HOWELL
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Credential |
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Telephone | 931-837-3336
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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 | N/A
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License Number State |
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