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Organization
MIAMI VALLEY SLEEP CENTER LLC
Active
Organization
MIAMI VALLEY SLEEP CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG A PICKERILL RPSGT (PRESIDENT)
(614) 410-1266
Entity
Organization
Contact information
Practice address
1980B KINGSGATE RD, SPRINGFIELD, OH 45502-8224
(614) 433-0614
(866) 290-8990
Mailing address
PO BOX 418, WORTHINGTON, OH 43085-0418
(614) 410-1266
(866) 291-8990
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NULL
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2575002
—
OH
Enumeration date
06/27/2005
Last updated
04/01/2008
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