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General NPI Number Information
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NPI Number | 1972479608
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Entity Type | Organization
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Legal Business Name | NEUROSLEEP DIAGNOSTIC
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Dates
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Enumeration Date | 10/10/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 606 ALSTON BLVD
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City | HAMPSTEAD
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State | NC
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Zip | 28443-8124
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Country | US
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Telephone | 919-342-7983
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Fax | 980-427-2948
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Provider Business Mailing Address
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Address Line | 606 ALSTON BLVD
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City | HAMPSTEAD
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State | NC
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Zip | 28443-8124
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Country | US
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Telephone | 919-342-7983
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Fax | 980-427-2948
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Authorized Official
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Title or Position | MEMBER
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Name | BRANDON GORHAM
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Credential |
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Telephone | 919-342-7983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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