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General NPI Number Information
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NPI Number | 1346691417
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Entity Type | Organization
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Legal Business Name | MOBILE SLEEP AND NEURODIAGNOSTICS
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Dates
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Enumeration Date | 06/29/2016
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Last Update Date | 06/29/2016
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Provider Practice Location Address
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Address Line | 3405 SAVAGE SPRINGS DR
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City | AUSTIN
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State | TX
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Zip | 78754-5904
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Country | US
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Telephone | 512-947-2044
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Fax |
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Provider Business Mailing Address
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Address Line | 3405 SAVAGE SPRINGS DR
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City | AUSTIN
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State | TX
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Zip | 78754-5904
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Country | US
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Telephone | 512-947-2044
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | AMBER LEE GARCIA
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Credential | RPSGT
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Telephone | 512-947-2044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204R00000X
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Taxonomy Name | Electrodiagnostic Medicine Physician
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License Number |
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License Number State |
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