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General NPI Number Information
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NPI Number | 1972674711
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Entity Type | Organization
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Legal Business Name | TRINITY SLEEP SOLUTIONS LLC
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 01/30/2008
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Provider Practice Location Address
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Address Line | 4128 ROWAN RD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-6122
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Country | US
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Telephone | 727-232-3948
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Fax | 727-232-3956
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Provider Business Mailing Address
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Address Line | 4128 ROWAN RD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-6122
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Country | US
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Telephone | 727-232-3948
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Fax | 727-232-3956
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | MELISSA S EVANS
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Credential |
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Telephone | 727-232-3948
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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 | HCC7322
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License Number State | FL
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