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General NPI Number Information
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NPI Number | 1033362876
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Entity Type | Organization
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Legal Business Name | HEALTHLINE DIAGNOSTICS, INC
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Dates
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Enumeration Date | 10/24/2008
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Last Update Date | 01/21/2009
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Provider Practice Location Address
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Address Line | 4833 SPICEWOOD SPRINGS RD SUITE 102
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City | AUSTIN
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State | TX
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Zip | 78759-7253
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Country | US
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Telephone | 512-477-0500
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Fax | 512-477-9232
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Provider Business Mailing Address
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Address Line | PO BOX 2142
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City | SHERMAN
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State | TX
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Zip | 75091-2142
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Country | US
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Telephone | 903-813-0300
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Fax | 903-891-0910
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. EDWARD SIMS
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Credential |
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Telephone | 903-813-0300
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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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