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General NPI Number Information
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NPI Number | 1821019159
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Entity Type | Organization
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Legal Business Name | SLEEPI LLC
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1483 TOBIAS GADSON BLVD SUITE 207
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City | CHARLESTON
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State | SC
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Zip | 29407-8702
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Country | US
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Telephone | 803-936-1646
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Fax | 803-936-1647
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Provider Business Mailing Address
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Address Line | 3231 SUNSET BLVD SUITE C
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-3483
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Country | US
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Telephone | 803-936-1646
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Fax | 803-396-1647
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Authorized Official
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Title or Position | CEO
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Name | SUBATH L KAMALASAN
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Credential |
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Telephone | 803-936-1646
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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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