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General NPI Number Information
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NPI Number | 1881254233
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Entity Type | Organization
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Legal Business Name | HEALTHY SLEEP CENTER
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Dates
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Enumeration Date | 06/18/2019
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Last Update Date | 10/05/2020
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Provider Practice Location Address
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Address Line | 1040 TRUMP RD NW
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City | CARROLLTON
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State | OH
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Zip | 44615-9472
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Country | US
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Telephone | 330-624-5666
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Fax |
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Provider Business Mailing Address
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Address Line | 1040 TRUMP RD NW STE 300
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City | CARROLLTON
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State | OH
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Zip | 44615-9472
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Country | US
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Telephone | 330-944-1020
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAVID K SEVERSON
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Credential |
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Telephone | 330-904-1020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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