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General NPI Number Information
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NPI Number | 1871887638
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Entity Type | Organization
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Legal Business Name | AMAZING SLEEP, LLC
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Dates
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Enumeration Date | 06/08/2011
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Last Update Date | 03/18/2015
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Provider Practice Location Address
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Address Line | 213 LANE PKWY
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City | SHELBYVILLE
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State | TN
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Zip | 37160-3108
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Country | US
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Telephone | 931-684-9002
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Fax | 931-684-9007
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Provider Business Mailing Address
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Address Line | PO BOX 397
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City | SHELBYVILLE
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State | TN
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Zip | 37162-0397
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Country | US
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Telephone | 931-684-9002
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Fax | 931-684-9007
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Authorized Official
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Title or Position | OWNER
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Name | MR. KEITH BOLTON
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Credential |
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Telephone | 931-684-9002
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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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