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General NPI Number Information
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NPI Number | 1821655937
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Entity Type | Organization
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Legal Business Name | MAGNOLIA SLEEP CENTER, LLC
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Dates
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Enumeration Date | 05/23/2019
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Last Update Date | 05/23/2019
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Provider Practice Location Address
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Address Line | 8370 WEST FLAGLER ST # 244
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City | MIAMI
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State | FL
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Zip | 33144
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Country | US
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Telephone | 305-779-8278
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Fax | 305-740-1478
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Provider Business Mailing Address
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Address Line | 8370 WEST FLAGLER ST # 244
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City | MIAMI
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State | FL
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Zip | 33144
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Country | US
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Telephone | 305-779-8278
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Fax | 305-740-1478
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIA OTI
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Credential |
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Telephone | 305-779-8278
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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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