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NPI 1710321146

NPI 1710321146 : REM SLEEP DIAGNOSTICS FRISCO LLC : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1710321146
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    Entity Type          |    Organization 
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    Legal Business Name  |    REM SLEEP DIAGNOSTICS FRISCO LLC 
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Dates
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    Enumeration Date     |    04/29/2013
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    Last Update Date     |    07/27/2013
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Provider Practice Location Address
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    Address Line         |    11970 N CENTRAL EXPY STE. 640
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75243-3768
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    Country              |    US
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    Telephone            |    214-812-9490
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5680 FRISCO SQUARE BLVD STE. 2700
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    City                 |    FRISCO
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    State                |    TX
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    Zip                  |    75034-3308
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    Country              |    US
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    Telephone            |    214-812-9490
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MELISSA  GUINN 
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    Credential           |    
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    Telephone            |    214-812-9490
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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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