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General NPI Number Information
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NPI Number | 1851738991
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Entity Type | Organization
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Legal Business Name | PREMIER SLEEP CENTER, LLC
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Dates
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Enumeration Date | 05/30/2013
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Last Update Date | 08/05/2016
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Provider Practice Location Address
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Address Line | 7405 SHALLOWFORD RD STE 240
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City | CHATTANOOGA
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State | TN
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Zip | 37421-2661
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Country | US
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Telephone | 931-698-4309
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Fax |
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Provider Business Mailing Address
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Address Line | 701 E MAIN ST
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City | HOHENWALD
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State | TN
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Zip | 38462-2054
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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 | PRESIDENT
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Name | MR. DAVID BAXTER
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Credential | RN, ATP
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Telephone | 931-698-4309
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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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