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General NPI Number Information
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NPI Number | 1780128769
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Entity Type | Organization
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Legal Business Name | TALLAHASSEE SLEEP DIAGNOSTICS, INC
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Dates
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Enumeration Date | 12/12/2016
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Last Update Date | 03/08/2018
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Provider Practice Location Address
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Address Line | 1605 E PLAZA DR STE 103
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5327
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Country | US
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Telephone | 850-878-7271
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Fax | 850-878-1509
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Provider Business Mailing Address
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Address Line | 1605 E PLAZA DR STE 103
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5327
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Country | US
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Telephone | 850-878-7271
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Fax | 850-878-1509
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | MRS. JEANNE PATRICIA HUFFMASTER
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Credential |
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Telephone | 850-878-7271
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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 | 225168
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License Number State | FL
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