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General NPI Number Information
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NPI Number | 1841498615
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Entity Type | Organization
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Legal Business Name | SLEEP CENTER OF PLANO, L.P.
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 12/17/2008
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Provider Practice Location Address
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Address Line | 400 MAPLELAWN CT STE 106
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City | PLANO
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State | TX
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Zip | 75075-5736
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Country | US
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Telephone | 972-596-8561
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5576
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City | EDMOND
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State | OK
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Zip | 73083-5576
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Country | US
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Telephone | 405-285-4914
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Fax |
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Authorized Official
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Title or Position | INSURANCE CONTRACTING SPECIALIST
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Name | SHELLI M WALL
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Credential |
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Telephone | 405-285-4914
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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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