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General NPI Number Information
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NPI Number | 1780281162
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Entity Type | Organization
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Legal Business Name | MEDICSLEEP LLC
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Dates
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Enumeration Date | 10/08/2020
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Last Update Date | 10/08/2020
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Provider Practice Location Address
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Address Line | 7842 NW 46TH ST
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City | DORAL
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State | FL
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Zip | 33166-5461
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Country | US
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Telephone | 347-573-4721
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Fax |
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Provider Business Mailing Address
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Address Line | 10479 NW 82ND ST UNIT 14
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City | DORAL
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State | FL
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Zip | 33178-4408
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Country | US
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Telephone | 347-573-4721
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. ERICK ALCANTARA
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Credential | RPSGT
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Telephone | 347-573-4721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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