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General NPI Number Information
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NPI Number | 1831330919
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Entity Type | Organization
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Legal Business Name | PHYSICIANS SLEEP DIAGNOSTICS, INC
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Dates
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Enumeration Date | 03/18/2009
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Last Update Date | 04/21/2021
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Provider Practice Location Address
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Address Line | 114 MONUMENT PL STE C
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City | VICKSBURG
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State | MS
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Zip | 39180-5169
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Country | US
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Telephone | 601-636-8775
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Fax | 601-636-9066
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Provider Business Mailing Address
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Address Line | 114 MONUMENT PL
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City | VICKSBURG
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State | MS
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Zip | 39180-5169
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Country | US
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Telephone | 601-636-0097
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Fax | 601-629-9969
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID M HALINSKI
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Credential | MD
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Telephone | 601-456-1916
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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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