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General NPI Number Information
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NPI Number | 1093735839
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Entity Type | Organization
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Legal Business Name | MAINLAND AMERICAN SLEEP DIAGNOSTIC CENTER, INC.
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 08/10/2022
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Provider Practice Location Address
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Address Line | 17300 MERCURY DR
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City | HOUSTON
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State | TX
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Zip | 77058-2732
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Country | US
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Telephone | 281-218-6990
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Fax | 281-218-7969
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Provider Business Mailing Address
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Address Line | 17300 MERCURY DR
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City | HOUSTON
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State | TX
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Zip | 77058-2732
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Country | US
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Telephone | 281-218-6990
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Fax | 281-218-7969
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CASIE CLENNON
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Credential |
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Telephone | 281-218-6990
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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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