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General NPI Number Information
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NPI Number | 1881506897
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Entity Type | Organization
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Legal Business Name | SKYLARK SLEEP, PLLC
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Dates
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Enumeration Date | 09/22/2026
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Last Update Date | 09/22/2026
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Provider Practice Location Address
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Address Line | 420 SUMMIT AVE STE 314
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City | SAINT PAUL
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State | MN
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Zip | 55102-5500
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Country | US
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Telephone | 612-618-1402
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Fax |
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Provider Business Mailing Address
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Address Line | 784 LINWOOD AVE
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City | SAINT PAUL
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State | MN
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Zip | 55105-3322
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Country | US
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Telephone | 612-618-1402
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Fax |
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Authorized Official
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Title or Position | CHEIF MEDICAL OFFICER
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Name | DR. JAGDEEP BIJWADIA
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Credential | MD
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Telephone | 612-618-1402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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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 | 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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