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General NPI Number Information
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NPI Number | 1760773089
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Entity Type | Organization
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Legal Business Name | SLEEPCOR
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Dates
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Enumeration Date | 04/20/2011
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Last Update Date | 08/29/2018
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Provider Practice Location Address
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Address Line | 6440 NORTH CENTRAL EXPRESSWAY SUITE # 215
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City | DALLAS
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State | TX
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Zip | 75206
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Country | US
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Telephone | 972-788-2325
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Fax | 972-381-0601
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Provider Business Mailing Address
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Address Line | 6440 NORTH CENTRAL EXPRESSWAY SUITE 307
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City | DALLAS
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State | TX
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Zip | 75206-4132
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Country | US
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Telephone | 214-872-6300
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Fax | 214-347-8077
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Authorized Official
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Title or Position | OWNER/C.E.O.
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Name | MR. KEN R. HARDING
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Credential |
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Telephone | 817-233-5120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1000546
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License Number State | TX
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