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General NPI Number Information
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NPI Number | 1972901379
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Entity Type | Organization
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Legal Business Name | AMERICAN SLEEP PRODUCTS, LLC
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Dates
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Enumeration Date | 12/17/2014
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Last Update Date | 01/27/2015
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Provider Practice Location Address
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Address Line | 4010 DUPONT CIR SUITE #124
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City | LOUISVILLE
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State | KY
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Zip | 40207-4812
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Country | US
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Telephone | 502-895-7310
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Fax | 502-895-7311
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Provider Business Mailing Address
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Address Line | 7900 BELFORT PKWY STE 301B
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City | JACKSONVILLE
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State | FL
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Zip | 32256-6931
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Country | US
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Telephone | 904-517-5537
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Fax | 904-517-5542
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JIM EVANGER
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Credential |
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Telephone | 904-517-5540
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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 | HME00871
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License Number State | KY
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