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General NPI Number Information
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NPI Number | 1144358011
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Entity Type | Organization
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Legal Business Name | ANGELINA SLEEP LAB LTD
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 09/11/2013
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Provider Practice Location Address
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Address Line | 206 GASLIGHT BLVD
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City | LUFKIN
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State | TX
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Zip | 75904
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Country | US
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Telephone | 936-639-4040
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Fax | 936-639-2466
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Provider Business Mailing Address
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Address Line | 206 GASLIGHT BLVD
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City | LUFKIN
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State | TX
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Zip | 75904
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Country | US
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Telephone | 936-639-4040
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Fax | 936-639-2466
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | ABRAHAM CHERIYAN
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Credential |
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Telephone | 936-639-1110
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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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