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General NPI Number Information
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NPI Number | 1013155852
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Entity Type | Organization
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Legal Business Name | ODESSA SLEEP ASSOCIATES
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Dates
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Enumeration Date | 02/02/2009
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 1001 E 3RD ST
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City | ODESSA
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State | TX
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Zip | 79761-5209
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Country | US
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Telephone | 432-337-6669
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Fax | 432-337-6665
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Provider Business Mailing Address
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Address Line | 1001 E 3RD ST
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City | ODESSA
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State | TX
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Zip | 79761-5209
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Country | US
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Telephone | 432-337-6669
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Fax | 432-337-6665
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Authorized Official
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Title or Position | PARTNER
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Name | MANOHER L GURRU
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Credential | MD
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Telephone | 432-570-9991
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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 | NONE REQUIRED
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License Number State | TX
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