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General NPI Number Information
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NPI Number | 1851311443
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Entity Type | Organization
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Legal Business Name | SLEEP QUEST
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 08/31/2007
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Provider Practice Location Address
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Address Line | 1601 HWY 59 LOOP NORTH SUITE 400
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City | LIVINGSTON
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State | TX
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Zip | 77351
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Country | US
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Telephone | 936-327-3457
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Fax | 936-328-5748
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Provider Business Mailing Address
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Address Line | PO BOX 1329
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City | LIVINGSTON
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State | TX
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Zip | 77351-0024
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Country | US
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Telephone | 936-327-3457
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Fax | 936-328-5748
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Authorized Official
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Title or Position | OWNER
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Name | MR. RANDY PAYTON
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Credential |
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Telephone | 936-327-3457
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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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