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General NPI Number Information
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NPI Number | 1518371707
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Entity Type | Organization
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Legal Business Name | REGISTERED SLEEP ANALYSIS, LLC
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Dates
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Enumeration Date | 06/16/2014
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Last Update Date | 01/19/2017
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Provider Practice Location Address
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Address Line | 3613 WILLIAMS DR SUITE 1006
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City | GEORGETOWN
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State | TX
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Zip | 78628-1377
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Country | US
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Telephone | 512-686-6181
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Fax | 512-842-7318
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Provider Business Mailing Address
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Address Line | 3613 WILLIAMS DR SUITE 1006
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City | GEORGETOWN
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State | TX
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Zip | 78628-1377
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Country | US
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Telephone | 512-686-6181
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Fax | 512-842-7318
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Authorized Official
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Title or Position | MANAGING MEMBER, CEO
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Name | THERESA NICHOLE O'CONNOR
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Credential | RPSGT, RST
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Telephone | 512-686-6181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZE0500X
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Taxonomy Name | EEG Specialist/Technologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2472E0500X
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Taxonomy Name | EEG Technician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number |
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License Number State |
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