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General NPI Number Information
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NPI Number | 1700875200
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Entity Type | Organization
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Legal Business Name | FLORIDA SLEEP INSTITUTE
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4075 MARINER BLVD
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City | SPRING HILL
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State | FL
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Zip | 34609-2467
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Country | US
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Telephone | 352-683-7885
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Fax | 352-683-7877
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Provider Business Mailing Address
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Address Line | 4075 MARINER BLVD
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City | SPRING HILL
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State | FL
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Zip | 34609-2467
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Country | US
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Telephone | 352-683-7885
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Fax | 352-683-7877
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MR. WILLIAM C KOHLER
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Credential | MD DABSM
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Telephone | 352-683-7885
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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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