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General NPI Number Information
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NPI Number | 1861731663
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Entity Type | Organization
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Legal Business Name | RELIANCE SLEEP CENTERS OF AMERICA INC
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Dates
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Enumeration Date | 02/14/2013
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Last Update Date | 02/14/2013
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Provider Practice Location Address
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Address Line | 993 YEOMANS ST
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City | BLACKSHEAR
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State | GA
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Zip | 31516-2083
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Country | US
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Telephone | 912-807-0904
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Fax | 912-807-0904
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Provider Business Mailing Address
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Address Line | 87 LINDSEY LANE UNIT A
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City | KINGSLAND
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State | GA
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Zip | 31548-6836
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Country | US
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Telephone | 912-576-6831
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Fax | 912-576-6861
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Authorized Official
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Title or Position | CEO
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Name | MR. MIKE SHEHEE
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Credential | RPSGT, RST
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Telephone | 912-388-4556
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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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