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General NPI Number Information
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NPI Number | 1912264102
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Entity Type | Organization
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Legal Business Name | SLEEP WELLNESS INSTITUTE, INC
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Dates
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Enumeration Date | 04/12/2012
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Last Update Date | 03/20/2014
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Provider Practice Location Address
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Address Line | 11725 N PORT WASHINGTON RD SUITE 210
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City | MEQUON
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State | WI
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Zip | 53092-3485
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Country | US
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Telephone | 414-336-3000
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Fax | 414-336-1015
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Provider Business Mailing Address
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Address Line | 2356 S 102ND ST SUITE A
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City | WEST ALLIS
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State | WI
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Zip | 53227-2104
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Country | US
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Telephone | 414-336-3000
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Fax | 414-336-1015
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Authorized Official
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Title or Position | FINANCE DIRECTOR
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Name | MRS. RENEE DEVINE
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Credential |
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Telephone | 414-336-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 173F00000X
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Taxonomy Name | Sleep Specialist (PhD)
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License Number |
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License Number State |
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