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General NPI Number Information
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NPI Number | 1306235254
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Entity Type | Organization
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Legal Business Name | SLEEP DIAGNOSTIC CENTER
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Dates
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Enumeration Date | 01/15/2015
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Last Update Date | 01/15/2015
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Provider Practice Location Address
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Address Line | 19411 MCKAY DR 100
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City | HUMBLE
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State | TX
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Zip | 77338-5713
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Country | US
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Telephone | 281-548-7313
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Fax | 281-446-6818
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Provider Business Mailing Address
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Address Line | 19411 MCKAY DR 100
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City | HUMBLE
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State | TX
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Zip | 77338-5713
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Country | US
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Telephone | 281-548-7313
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Fax | 281-446-6818
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Authorized Official
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Title or Position | MEDICAL DR
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Name | DR. KRIS D BHAT
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Credential | MD
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Telephone | 281-548-7313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173F00000X
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Taxonomy Name | Sleep Specialist (PhD)
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License Number |
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License Number State | TX
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