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General NPI Number Information
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NPI Number | 1750877379
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Entity Type | Organization
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Legal Business Name | PIEDMONT PULMONARY & SLEEP CENTER
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Dates
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Enumeration Date | 07/06/2018
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Last Update Date | 07/01/2022
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Provider Practice Location Address
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Address Line | 119 MALL DR
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City | DANVILLE
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State | VA
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Zip | 24540-4069
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Country | US
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Telephone | 434-857-2959
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Fax |
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Provider Business Mailing Address
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Address Line | 119 MALL DR
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City | DANVILLE
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State | VA
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Zip | 24540-4069
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Country | US
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Telephone | 434-857-2959
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | JACOB PATTERSON
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Credential | RPH
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Telephone | 434-857-2959
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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 |
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License Number State |
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