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General NPI Number Information
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NPI Number | 1700141231
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Entity Type | Organization
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Legal Business Name | HOME SLEEP SPECIALISTS
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Dates
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Enumeration Date | 07/10/2012
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Last Update Date | 07/10/2012
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Provider Practice Location Address
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Address Line | 145 LAKELAND PARK CIR
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City | MART
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State | TX
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Zip | 76664-5151
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Country | US
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Telephone | 254-315-9440
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Fax |
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Provider Business Mailing Address
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Address Line | 145 LAKELAND PARK CIR
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City | MART
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State | TX
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Zip | 76664-5151
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Country | US
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Telephone | 254-875-2222
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Fax |
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | DESIREE E BARNARD-PETERSON
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Credential | RN, RPSGT
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Telephone | 254-315-9440
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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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