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General NPI Number Information
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NPI Number | 1700160074
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Entity Type | Organization
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Legal Business Name | SLEEP HEALTH CLINIC
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Dates
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Enumeration Date | 10/05/2011
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Last Update Date | 10/07/2011
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Provider Practice Location Address
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Address Line | 581 SULLIVAN RD STE B
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City | AURORA
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State | IL
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Zip | 60506-1492
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Country | US
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Telephone | 630-844-1300
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Fax | 630-844-1345
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Provider Business Mailing Address
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Address Line | 581 SULLIVAN RD STE B
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City | AURORA
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State | IL
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Zip | 60506-1492
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Country | US
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Telephone | 630-844-1300
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Fax | 630-844-1345
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. MOHAMMED A MAHKRI
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Credential | M.D.
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Telephone | 630-906-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #2
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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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