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General NPI Number Information
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NPI Number | 1992548689
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Entity Type | Organization
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Legal Business Name | SUNSET SLEEP AND WELLNESS CENTER
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Dates
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Enumeration Date | 06/18/2024
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 29 SPRING RUN DR
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City | FAIRHOPE
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State | AL
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Zip | 36532-1925
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Country | US
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Telephone | 251-732-6277
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Fax |
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Provider Business Mailing Address
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Address Line | 29 SPRING RUN DR
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City | FAIRHOPE
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State | AL
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Zip | 36532-1925
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Country | US
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Telephone | 251-732-6277
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LORI HARRIS MINTO
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Credential | MD
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Telephone | 251-732-6277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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