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General NPI Number Information
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NPI Number | 1841269719
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Entity Type | Organization
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Legal Business Name | SLEEP DISORDER DIAGNOSTIC AND THERAPEUTIC SERVICES, INC.
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1035 N EMPORIA ST SUITE 1
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City | WICHITA
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State | KS
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Zip | 67214-2944
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Country | US
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Telephone | 316-264-6286
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Fax | 316-264-6396
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Provider Business Mailing Address
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Address Line | PO BOX 1915
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City | WICHITA
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State | KS
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Zip | 67201-1915
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Country | US
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Telephone | 316-264-6286
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Fax | 316-264-6396
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Authorized Official
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Title or Position | OWNER
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Name | MISS CHRISTY COLBERT
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Credential | RPSGT
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Telephone | 316-264-6286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 360585
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License Number State | KS
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