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General NPI Number Information
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NPI Number | 1851822217
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Entity Type | Organization
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Legal Business Name | FLORIDA SLEEP SOLUTIONS, INC
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 03/27/2017
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Provider Practice Location Address
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Address Line | 20056 E PENNSYLVANIA AVE UNIT # 6
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City | DUNNELLON
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State | FL
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Zip | 34432-6062
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Country | US
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Telephone | 352-873-7500
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Fax | 352-861-7501
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Provider Business Mailing Address
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Address Line | 20056 E PENNSYLVANIA AVE UNIT # 6
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City | DUNNELLON
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State | FL
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Zip | 34432-6062
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Country | US
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Telephone | 352-873-7500
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Fax | 352-861-7501
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Authorized Official
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Title or Position | PRESIDENT
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Name | CALVIN L COOK
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Credential |
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Telephone | 352-433-5556
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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 | HCC10883
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License Number State | FL
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