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General NPI Number Information
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NPI Number | 1740519826
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Entity Type | Organization
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Legal Business Name | THE NEUROLOGICAL MEDICINE SLEEP LABORATORY
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Dates
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Enumeration Date | 12/18/2009
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 7500 HANOVER PARKWAY GREENBELT, MD 20770-2009 SUITE 201
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City | GREENBELT
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State | MD
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Zip | 20770
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Country | US
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Telephone | 301-982-7944
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Fax | 301-441-8696
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Provider Business Mailing Address
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Address Line | 7500 HANOVER PKWY SUITE 201
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City | GREENBELT
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State | MD
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Zip | 20770-2010
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Country | US
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Telephone | 301-982-7944
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Fax | 301-441-8696
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM R LEAHY
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Credential | M.D.
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Telephone | 301-982-7944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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