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General NPI Number Information
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NPI Number | 1811063217
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Entity Type | Organization
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Legal Business Name | SLEEP HEALTH
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3200 W CENTRE AVE STE 203
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City | PORTAGE
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State | MI
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Zip | 49024-4889
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Country | US
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Telephone | 269-324-0799
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Fax | 269-324-8013
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Provider Business Mailing Address
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Address Line | 1541 GULL RD STE 100
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City | KALAMAZOO
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State | MI
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Zip | 49048-1644
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Country | US
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Telephone | 269-381-7380
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Fax | 269-341-4562
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MARK GOETTING
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Credential | MD
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Telephone | 269-324-0799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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