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General NPI Number Information
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NPI Number | 1720014111
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Entity Type | Organization
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Legal Business Name | KINGSVILLE SLEEP CENTER INC.
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 213 W KLEBERG AVE
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City | KINGSVILLE
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State | TX
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Zip | 78363-4427
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Country | US
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Telephone | 361-516-0007
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Fax | 361-516-0725
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Provider Business Mailing Address
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Address Line | PO BOX 1832
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City | KINGSVILLE
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State | TX
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Zip | 78364-1832
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Country | US
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Telephone | 361-516-0007
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Fax | 361-516-0725
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DELVALLE ANTONIA FIGARELLI-EVERETT
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Credential |
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Telephone | 361-516-0007
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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 | 0000123
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License Number State | TX
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