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General NPI Number Information
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NPI Number | 1396265963
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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 | 06/23/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 2144 N BELT LINE RD STE E
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City | MESQUITE
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State | TX
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Zip | 75150-5860
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Country | US
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Telephone | 214-046-1054
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Fax |
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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 | OWNER
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Name | IOANA PORFIR
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Credential |
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Telephone | 312-451-5976
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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 | 24228
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License Number State | TX
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