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General NPI Number Information
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NPI Number | 1790815025
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Entity Type | Organization
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Legal Business Name | SLEEPMED HAMPTON ROADS LLC
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 03/03/2023
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Provider Practice Location Address
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Address Line | 4480 HOLLAND OFFICE PARK SUITE 225-B
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452
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Country | US
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Telephone | 978-536-7400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3808
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City | HAMPTON
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State | VA
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Zip | 23663-3808
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | HEMANG SHAH
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Credential |
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Telephone | 757-686-8594
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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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