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General NPI Number Information
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NPI Number | 1750413266
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Entity Type | Organization
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Legal Business Name | SLEEPRITE MEDICAL LLC
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Dates
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Enumeration Date | 03/10/2007
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Last Update Date | 11/19/2014
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Provider Practice Location Address
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Address Line | 2139 1ST AVE.
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City | HIBBING
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State | MN
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Zip | 55746-2012
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Country | US
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Telephone | 218-362-8000
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Fax | 218-362-8000
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Provider Business Mailing Address
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Address Line | 2139 1ST AVE.
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City | HIBBING
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State | MN
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Zip | 55746-2012
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Country | US
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Telephone | 218-362-8000
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Fax | 218-362-8000
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Authorized Official
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Title or Position | OWNER,RESPIRATORY THERAPIST
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Name | MR. DARRYL MARTIN RAJKOVICH
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Credential | RT., RPSGT.
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Telephone | 218-362-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 5057529
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License Number State | MN
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