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General NPI Number Information
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NPI Number | 1770466211
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Entity Type | Organization
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Legal Business Name | PEDIATRIC PULMONARY AND SLEEP SPECIALISTS, PLLC
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1800 W 26TH ST STE 206
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City | HOUSTON
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State | TX
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Zip | 77008-1450
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Country | US
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Telephone | 719-638-1122
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Fax | 719-638-1123
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Provider Business Mailing Address
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Address Line | 9235 N UNION BLVD STE 150334
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-7831
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Country | US
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Telephone | 719-638-1122
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Fax | 719-638-1123
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Authorized Official
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Title or Position | COO
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Name | AMANDA HARRIS
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Credential |
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Telephone | 719-638-1122
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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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Taxonomy #2
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Taxonomy Code | 2080S0012X
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Taxonomy Name | Pediatric Sleep Medicine Physician
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License Number |
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License Number State |
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