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General NPI Number Information
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NPI Number | 1851710123
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Entity Type | Organization
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Legal Business Name | SUMMIT PULMONARY AND SLEEP PLLC
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 08/25/2014
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Provider Practice Location Address
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Address Line | 300 N HIGHLAND AVE SUITE 455
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City | SHERMAN
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State | TX
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Zip | 75092-7388
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Country | US
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Telephone | 903-868-2800
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Fax | 903-868-2822
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Provider Business Mailing Address
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Address Line | 300 N HIGHLAND AVE SUITE 455
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City | SHERMAN
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State | TX
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Zip | 75092-7388
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Country | US
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Telephone | 903-868-2800
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Fax | 903-868-2822
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Authorized Official
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Title or Position | OWNER
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Name | DR. IRFANULLAH YUSUFZAI
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Credential | MD
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Telephone | 903-868-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number | P3841
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | P3841
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | P3841
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License Number State | TX
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