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NPI 1164089272

NPI 1164089272 : AMERICAN SLEEP APNEA ASSOCIATES INC : SOUTHLAKE, TX

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General NPI Number Information
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    NPI Number           |    1164089272
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMERICAN SLEEP APNEA ASSOCIATES INC 
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Dates
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    Enumeration Date     |    05/23/2019
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    Last Update Date     |    06/17/2025
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Provider Practice Location Address
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    Address Line         |    310 W HIGHLAND ST 
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    City                 |    SOUTHLAKE
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    State                |    TX
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    Zip                  |    76092-5002
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    Country              |    US
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    Telephone            |    201-456-6212
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    310 W HIGHLAND ST 
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    City                 |    SOUTHLAKE
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    State                |    TX
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    Zip                  |    76092-5002
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    Country              |    US
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    Telephone            |    201-456-6212
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    Fax                  |    
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Authorized Official
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    Title or Position    |    SLEEP MEDICINE DIRECTOR
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    Name                 |    DR. VIDYA  PAI 
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    Credential           |    MD
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    Telephone            |    201-456-6212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207RS0012X
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    Taxonomy Name        |    Sleep Medicine (Internal Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    2080S0012X
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    Taxonomy Name        |    Pediatric Sleep Medicine Physician
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    License Number       |    
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    License Number State |    
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