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General NPI Number Information
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NPI Number | 1346082690
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Entity Type | Organization
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Legal Business Name | P4 SLEEP PATHWAYS PLLC
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Dates
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Enumeration Date | 06/08/2024
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Last Update Date | 06/11/2024
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Provider Practice Location Address
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Address Line | 2100 DALLAS PKWY STE 120
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City | PLANO
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State | TX
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Zip | 75093-4394
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Country | US
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Telephone | 972-824-1752
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 DALLAS PKWY STE 120
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City | PLANO
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State | TX
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Zip | 75093-4394
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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 | OWNER, MANAGER
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Name | DR. KEVIN ADUDDELL
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Credential | DDS
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Telephone | 972-824-1752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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