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General NPI Number Information
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NPI Number | 1841706751
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Entity Type | Organization
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Legal Business Name | TRI COUNTY SLEEP SERVICE LLC
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Dates
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Enumeration Date | 12/15/2017
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Last Update Date | 05/30/2019
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Provider Practice Location Address
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Address Line | 344 N MAIN ST
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City | CANANDAIGUA
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State | NY
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Zip | 14424-1442
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Country | US
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Telephone | 718-812-2869
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Fax | 718-812-2869
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Provider Business Mailing Address
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Address Line | 344 N MAIN ST
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City | CANANDAIGUA
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State | NY
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Zip | 14424-1030
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Country | US
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Telephone | 718-812-2869
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GERMAIN JEAN-CHARLES
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Credential |
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Telephone | 585-394-4746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 374944
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 374944
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License Number State | NY
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