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General NPI Number Information
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NPI Number | 1780832048
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Entity Type | Organization
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Legal Business Name | NATIONWIDE SLEEP DIAGNOSTICS, LLC
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Dates
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Enumeration Date | 08/28/2008
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Last Update Date | 08/28/2008
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Provider Practice Location Address
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Address Line | 477 CONGRESS ST 5TH FLOOR
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City | PORTLAND
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State | ME
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Zip | 04101-3427
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Country | US
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Telephone | 800-285-2529
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Fax | 888-796-4915
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Provider Business Mailing Address
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Address Line | 477 CONGRESS ST 5TH FLOOR
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City | PORTLAND
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State | ME
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Zip | 04101-3427
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Country | US
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Telephone | 800-285-2529
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Fax | 888-796-4915
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Authorized Official
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Title or Position | CEO
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Name | PETER JAMES FALKSON
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Credential |
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Telephone | 877-810-5975
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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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