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General NPI Number Information
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NPI Number | 1073693263
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Entity Type | Organization
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Legal Business Name | HOME SLEEP DIAGNOSTICS LTD.
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 12/08/2011
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Provider Practice Location Address
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Address Line | 3905 BELL ST
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City | AMARILLO
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State | TX
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Zip | 79109-4281
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Country | US
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Telephone | 806-356-0009
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 51317
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City | AMARILLO
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State | TX
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Zip | 79159-1317
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Country | US
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Telephone | 806-356-0009
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHAWN PETERS
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Credential | R.R.T.
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Telephone | 806-356-0009
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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 | 59304
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License Number State | TX
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