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General NPI Number Information
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NPI Number | 1942647029
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Entity Type | Organization
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Legal Business Name | RPI SLEEP COMPLETE LLC
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Dates
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Enumeration Date | 05/29/2013
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Last Update Date | 07/09/2015
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Provider Practice Location Address
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Address Line | 1310 WEST MAIN STREET SUITE 201
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City | RUSSELLVILLE
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State | AR
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Zip | 72801
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Country | US
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Telephone | 866-567-2430
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Fax | 866-567-9560
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Provider Business Mailing Address
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Address Line | 1310 WEST MAIN STREET SUITE 201
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City | RUSSELLVILLE
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State | AR
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Zip | 72801
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Country | US
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Telephone | 866-567-2430
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Fax | 866-567-9560
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Authorized Official
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Title or Position | MANAGER
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Name | DARIN WALLACE
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Credential |
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Telephone | 479-970-9019
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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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