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General NPI Number Information
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NPI Number | 1982958435
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Entity Type | Organization
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Legal Business Name | ELAN SLEEP LLC
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Dates
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Enumeration Date | 11/06/2012
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 1630 DRY CREEK DRIVE SUITE 200
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City | LONGMONT
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State | CO
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Zip | 80503-6405
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Country | US
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Telephone | 720-279-9098
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Fax | 303-248-3589
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Provider Business Mailing Address
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Address Line | 1630 DRY CREEK DRIVE SUITE 200
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City | LONGMONT
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State | CO
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Zip | 80503-6405
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Country | US
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Telephone | 720-279-9098
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Fax | 303-248-3589
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Authorized Official
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Title or Position | PRESIDENT
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Name | ADAM T WERTZ
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Credential |
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Telephone | 720-938-6918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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