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General NPI Number Information
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NPI Number | 1548536444
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Entity Type | Organization
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Legal Business Name | TX SLEEP CENTERS LLC
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Dates
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Enumeration Date | 03/26/2012
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Last Update Date | 07/12/2018
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Provider Practice Location Address
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Address Line | 331 MELROSE DR STE 145
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City | RICHARDSON
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State | TX
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Zip | 75080
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Country | US
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Telephone | 877-333-2575
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Fax | 800-840-8626
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Provider Business Mailing Address
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Address Line | 331 MELROSE DR STE 145
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City | RICHARDSON
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State | TX
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Zip | 75080-4405
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Country | US
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Telephone | 877-333-2575
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Fax | 800-840-8626
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Authorized Official
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Title or Position | OWNER
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Name | DEREK LANCASTER
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Credential |
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Telephone | 985-789-6636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #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 | 261Q00000X
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Taxonomy Name | 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 | 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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