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NPI 1881890812

NPI 1881890812 : MILITARY SLEEP SOLUTIONS INCORPORATED : JACKSONVILLE BEACH, FL

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General NPI Number Information
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    NPI Number           |    1881890812
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    Entity Type          |    Organization 
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    Legal Business Name  |    MILITARY SLEEP SOLUTIONS INCORPORATED 
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Dates
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    Enumeration Date     |    06/26/2007
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    Last Update Date     |    04/21/2010
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Provider Practice Location Address
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    Address Line         |    886 SOUTH 3RD STREET 
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    City                 |    JACKSONVILLE BEACH
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    State                |    FL
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    Zip                  |    32250
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    Country              |    US
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    Telephone            |    888-876-6693
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    Fax                  |    886-935-1858
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Provider Business Mailing Address
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    Address Line         |    886 SOUTH 3RD STREET 
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    City                 |    JACKSONVILLE BEACH
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    State                |    FL
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    Zip                  |    32250
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    Country              |    US
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    Telephone            |    888-876-6693
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    Fax                  |    886-935-1858
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. SAMUEL LOUIS HINSON 
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    Credential           |    
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    Telephone            |    904-607-5642
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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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