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General NPI Number Information
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NPI Number | 1710179262
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Entity Type | Organization
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Legal Business Name | CENTRAL VIRGINIA SLEEP DISORDERS CENTER, PLLC
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Dates
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Enumeration Date | 08/17/2007
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Last Update Date | 08/17/2007
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Provider Practice Location Address
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Address Line | 1601 ROLLING HILLS DR SUITE 103
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City | RICHMOND
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State | VA
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Zip | 23229-5011
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Country | US
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Telephone | 804-282-5555
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Fax | 804-270-7840
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Provider Business Mailing Address
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Address Line | 1601 ROLLING HILLS DR SUITE 103
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City | RICHMOND
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State | VA
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Zip | 23229-5011
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Country | US
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Telephone | 804-282-5555
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Fax | 804-270-7840
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Authorized Official
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Title or Position | PH.D., NURSE PRACTITIONER
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Name | DR. ROY L. HARTSOOK
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Credential | PH.D., APRN, BC
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Telephone | 804-270-6811
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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 | S1609496
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License Number State | VA
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