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General NPI Number Information
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NPI Number | 1619156569
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Entity Type | Organization
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Legal Business Name | SOUTH TEXAS SLEEP DIAGNOSTIC CLINIC
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Dates
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Enumeration Date | 10/29/2007
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Last Update Date | 10/29/2007
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Provider Practice Location Address
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Address Line | 909 BUSINESS PARK DR SUITE 4
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City | MISSION
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State | TX
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Zip | 78572-6052
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Country | US
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Telephone | 956-519-8180
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Fax | 956-519-8911
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Provider Business Mailing Address
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Address Line | 1201 E RIDGE RD SUITE E
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City | MCALLEN
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State | TX
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Zip | 78503-1531
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Country | US
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Telephone | 756-682-8685
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CRAIG S MEYER
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Credential |
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Telephone | 913-814-7464
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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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