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General NPI Number Information
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NPI Number | 1992595631
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Entity Type | Organization
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Legal Business Name | SOMNOTECH GROUP PRACTICE LLC
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 4301 LAPALCO BLVD STE B
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City | MARRERO
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State | LA
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Zip | 70072-4336
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Country | US
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Telephone | 251-459-2445
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Fax | 985-231-4710
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Provider Business Mailing Address
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Address Line | 4301 LAPALCO BLVD STE B
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City | MARRERO
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State | LA
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Zip | 70072-4336
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Country | US
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Telephone | 251-459-2445
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Fax | 985-231-4710
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRANDON MIGLIORE
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Credential |
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Telephone | 251-459-2445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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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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