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NPI 1639148265

NPI 1639148265 : GARLAND WELLNESS DIAGNOSTICS : GARLAND, TX

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General NPI Number Information
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    NPI Number           |    1639148265
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    Entity Type          |    Organization 
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    Legal Business Name  |    GARLAND WELLNESS DIAGNOSTICS 
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Dates
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    Enumeration Date     |    03/16/2006
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    Last Update Date     |    03/25/2008
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Provider Practice Location Address
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    Address Line         |    333 N SHILOH RD 
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    City                 |    GARLAND
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    State                |    TX
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    Zip                  |    75042-6680
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    Country              |    US
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    Telephone            |    972-487-8880
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    Fax                  |    974-487-8886
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Provider Business Mailing Address
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    Address Line         |    3100 TIMMONS LN SUITE 320
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77027-5926
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    Country              |    US
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    Telephone            |    713-840-0808
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    Fax                  |    713-840-0881
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Authorized Official
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    Title or Position    |    DIRECTOR OF OPERATIONS
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    Name                 |     PAIGE  ARENSCHIELD 
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    Credential           |    CPC
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    Telephone            |    281-381-8838
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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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