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General NPI Number Information
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NPI Number | 1780969204
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Entity Type | Organization
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Legal Business Name | SLEEP DISORDERS MANAGEMENT, LLC
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Dates
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Enumeration Date | 10/15/2011
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Last Update Date | 11/18/2011
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Provider Practice Location Address
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Address Line | 1521 CONCORD PIKE BRANDYWINE WEST, SUITE #301
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City | WILMINGTON
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State | DE
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Zip | 19803-3642
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Country | US
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Telephone | 302-319-4736
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Fax |
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Provider Business Mailing Address
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Address Line | 212 ABBOTSFORD DR
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City | MIDDLETOWN
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State | DE
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Zip | 19709-9459
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Country | US
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Telephone | 302-319-4736
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM RAY LYNCH JR.
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Credential | M.D.
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Telephone | 302-319-4736
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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 | C1-0009850
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number | C1-0009850
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License Number State | DE
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