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General NPI Number Information
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NPI Number | 1790172799
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Entity Type | Organization
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Legal Business Name | SLEEP CARE DIAGNOSTICS
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Dates
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Enumeration Date | 04/17/2015
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Last Update Date | 06/20/2016
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Provider Practice Location Address
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Address Line | 15817 78TH RD SUITE 100
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City | FLUSHING
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State | NY
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Zip | 11366-1913
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Country | US
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Telephone | 917-525-3139
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Fax | 800-761-3551
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Provider Business Mailing Address
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Address Line | PO BOX 671024
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City | KEW GARDENS HILLS
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State | NY
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Zip | 11367-7024
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Country | US
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Telephone | 917-525-3139
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Fax | 800-761-3551
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Authorized Official
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Title or Position | OWNER
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Name | MR. NATHAN K
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Credential |
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Telephone | 646-417-1138
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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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