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General NPI Number Information
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NPI Number | 1851200992
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Entity Type | Organization
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Legal Business Name | SLOAN ELECTRODIAGNOSTIC TESTING PLLC
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 805 AMETHYST DR
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487-3216
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Country | US
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Telephone | 801-360-0249
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 773356
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80477-3356
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | LYNN TYSON SLOAN
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Credential | DO
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Telephone | 801-885-3488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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