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General NPI Number Information
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NPI Number | 1104371657
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Entity Type | Organization
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Legal Business Name | SENTINEL SLEEP, L.P.
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Dates
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Enumeration Date | 08/24/2016
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Last Update Date | 08/24/2016
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Provider Practice Location Address
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Address Line | 9901 TOWN PARK DR
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City | HOUSTON
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State | TX
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Zip | 77036-2343
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Country | US
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Telephone | 713-773-0556
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Fax |
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Provider Business Mailing Address
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Address Line | 11233 SHADOW CREEK PKWY SUITE 313
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City | PEARLAND
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State | TX
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Zip | 77584-7345
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | HENRY TERRELL IV
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Credential |
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Telephone | 713-773-0556
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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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