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General NPI Number Information
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NPI Number | 1750753232
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Entity Type | Organization
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Legal Business Name | ACCURATE SLEEP LAB
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Dates
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Enumeration Date | 10/23/2015
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Last Update Date | 10/23/2015
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Provider Practice Location Address
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Address Line | 411 S PATTIE ST SUITE 2
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City | WICHITA
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State | KS
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Zip | 67211
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Country | US
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Telephone | 316-295-4279
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Fax |
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Provider Business Mailing Address
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Address Line | 411 S PATTIE ST SUITE 2
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City | WICHITA
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State | KS
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Zip | 67211
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Country | US
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Telephone | 316-295-4279
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | KEVIN ALLEN KUNZ
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Credential |
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Telephone | 316-573-5699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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