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General NPI Number Information
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NPI Number | 1740586098
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Entity Type | Organization
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Legal Business Name | SLEEP CLINIC FOR CHILDREN AND ADULTS
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Dates
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Enumeration Date | 02/03/2011
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Last Update Date | 02/04/2011
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Provider Practice Location Address
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Address Line | 5 E CLAY ST
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City | RICHMOND
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State | VA
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Zip | 23219-1329
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Country | US
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Telephone | 804-273-9900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 71703
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City | RICHMOND
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State | VA
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Zip | 23255-1703
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. PAMELA HAMILTON-STUBBS
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Credential | M.D.
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Telephone | 804-273-9900
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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 | 0101050313
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License Number State | VA
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