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NPI 1184086530

NPI 1184086530 : SLEEP CENTERS OF TEXAS : ENNIS, TX

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General NPI Number Information
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    NPI Number           |    1184086530
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    Entity Type          |    Organization 
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    Legal Business Name  |    SLEEP CENTERS OF TEXAS 
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Dates
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    Enumeration Date     |    03/24/2016
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    Last Update Date     |    04/21/2021
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Provider Practice Location Address
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    Address Line         |    601 S CLAY ST SUITE 107
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    City                 |    ENNIS
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    State                |    TX
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    Zip                  |    75119-5771
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    Country              |    US
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    Telephone            |    972-878-7378
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    Fax                  |    972-875-8289
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Provider Business Mailing Address
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    Address Line         |    2421 E TUDOR RD STE 102 
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    City                 |    ANCHORAGE
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    State                |    AK
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    Zip                  |    99507-1166
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    Country              |    US
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    Telephone            |    907-677-8889
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    Fax                  |    907-677-8886
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Authorized Official
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    Title or Position    |    PRESIDENT AND CEO
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    Name                 |    MR. MICHAEL G BAKER 
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    Credential           |    
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    Telephone            |    314-308-4879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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