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General NPI Number Information
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NPI Number | 1881707891
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Entity Type | Organization
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Legal Business Name | HOME SLEEP DIAGNOSTICS
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 08/28/2007
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Provider Practice Location Address
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Address Line | 2522 W PETERSON AVE
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City | CHICAGO
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State | IL
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Zip | 60659-4109
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Country | US
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Telephone | 773-262-4110
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Fax | 773-784-0701
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Provider Business Mailing Address
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Address Line | 2522 W PETERSON AVE
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City | CHICAGO
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State | IL
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Zip | 60659-4109
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Country | US
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Telephone | 773-262-4110
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Fax | 773-784-0701
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. AHUVA ELANA SHABAT
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Credential |
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Telephone | 773-262-4110
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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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