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General NPI Number Information
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NPI Number | 1851625313
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Entity Type | Organization
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Legal Business Name | EDINBURG NEURODIAGNOSTIC AND SLEEP CENTER,LLC
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Dates
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Enumeration Date | 09/30/2009
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Last Update Date | 09/30/2009
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Provider Practice Location Address
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Address Line | 5019 S MCCOLL RD
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City | EDINBURG
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State | TX
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Zip | 78539-8080
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Country | US
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Telephone | 956-683-9300
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Fax | 956-683-9323
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Provider Business Mailing Address
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Address Line | 3125 CENTER POINT DR
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City | EDINBURG
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State | TX
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Zip | 78539-8433
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Country | US
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Telephone | 956-683-9300
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Fax | 956-683-9323
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Authorized Official
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Title or Position | SUPERVISOR
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Name | DR. PRITI M. MANOHAR
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Credential | M.D.
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Telephone | 956-683-9300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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