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General NPI Number Information
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NPI Number | 1780873737
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Entity Type | Organization
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Legal Business Name | YOUR SLEEP CENTER, L.P.
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 06/11/2010
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Provider Practice Location Address
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Address Line | 4201 MEDICAL CENTER DR SUITE 200
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City | MCKINNEY
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State | TX
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Zip | 75069-1766
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Country | US
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Telephone | 972-838-1892
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1171
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City | ADDISON
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State | TX
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Zip | 75001-1171
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHAHRUKH KUREISHY
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Credential | MD
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Telephone | 972-838-1892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | L6995
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License Number State | TX
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