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General NPI Number Information
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NPI Number | 1467528471
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Entity Type | Organization
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Legal Business Name | SLEEP WAKE MANAGEMENT, INC
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 01/03/2017
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Provider Practice Location Address
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Address Line | 4242 MEDICAL DR SUITE 7300
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City | SAN ANTONIO
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State | TX
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Zip | 78229-5640
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Country | US
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Telephone | 210-614-7474
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Fax | 210-614-7475
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Provider Business Mailing Address
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Address Line | 4242 MEDICAL DR SUITE 7300
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City | SAN ANTONIO
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State | TX
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Zip | 78229-5640
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Country | US
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Telephone | 210-614-7474
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Fax | 210-614-7475
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOE M HERNANDEZ
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Credential | RPSGT
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Telephone | 210-614-7474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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