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General NPI Number Information
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NPI Number | 1275944092
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Entity Type | Organization
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Legal Business Name | SNORING AND SLEEP APNEA WELLNESS CENTER, LLC
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Dates
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Enumeration Date | 05/14/2014
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 1634 MISTLETOE BLVD
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City | FORT WORTH
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State | TX
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Zip | 76104-4012
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Country | US
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Telephone | 214-461-0543
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Fax | 469-998-9101
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Provider Business Mailing Address
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Address Line | 2805 JOHNSON RD
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City | SOUTHLAKE
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State | TX
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Zip | 76092-5619
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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 | DOCTOR
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Name | DR. IOANA ALEXANDRA PORFIR
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Credential | DDS, MS, PHD
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Telephone | 214-461-0543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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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 | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 24228
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License Number State | TX
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