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General NPI Number Information
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NPI Number | 1861532608
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Entity Type | Organization
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Legal Business Name | SLEEP MEDICINE ASSOCIATES, LLC.
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 04/04/2019
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Provider Practice Location Address
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Address Line | 8305 EXPRESS DRIVE, SUITE C
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City | MARION
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State | IL
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Zip | 62959
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Country | US
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Telephone | 618-993-0086
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Fax | 618-993-0088
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Provider Business Mailing Address
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Address Line | PO BOX 1433
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City | MURPHYSBORO
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State | IL
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Zip | 62966
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Country | US
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Telephone | 618-993-0086
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Fax | 608-993-0088
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. TERRY MICHAEL BROWN
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Credential | DO
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Telephone | 618-993-0086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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