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General NPI Number Information
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NPI Number | 1982985719
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Entity Type | Organization
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Legal Business Name | MOUNTAIN SLEEP DIAGNOSTICS, INC
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Dates
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Enumeration Date | 09/07/2011
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 8151 SOUTHPARK LN SUITE 200
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City | LITTLETON
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State | CO
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Zip | 80120-4502
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Country | US
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Telephone | 303-396-2992
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Fax | 303-957-9414
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Provider Business Mailing Address
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Address Line | 191 TELLURIDE ST UNIT 5
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City | BRIGHTON
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State | CO
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Zip | 80601-4356
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Country | US
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Telephone | 303-396-5923
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Fax |
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Authorized Official
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Title or Position | FINANCE AND OPERATIONS DIRECTOR
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Name | AUTUMN GROUNDS-MENARD
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Credential |
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Telephone | 303-396-5923
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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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