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General NPI Number Information
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NPI Number | 1790584605
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Entity Type | Organization
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Legal Business Name | RESTFUL SLEEP PLLC
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 04/26/2025
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Provider Practice Location Address
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Address Line | 604 N WILLIS AVE
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City | LIVINGSTON
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State | TX
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Zip | 77351-2607
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Country | US
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Telephone | 936-327-2151
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Fax |
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Provider Business Mailing Address
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Address Line | 604 N WILLIS AVE
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City | LIVINGSTON
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State | TX
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Zip | 77351-2607
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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 | OWNER
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Name | AYABA GUISTE
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Credential | DDS
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Telephone | 936-445-8670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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