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General NPI Number Information
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NPI Number | 1861615163
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Entity Type | Organization
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Legal Business Name | ACADEMY DIAGNOSTICS LLC
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 11/13/2014
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Provider Practice Location Address
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Address Line | 8215 FREDERICKSBURG RD
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3355
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Country | US
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Telephone | 210-616-9500
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Fax | 210-616-0400
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Provider Business Mailing Address
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Address Line | PO BOX 2966
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City | SAN ANTONIO
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State | TX
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Zip | 78299-2966
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Country | US
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Telephone | 210-616-9500
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Fax | 210-616-0400
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. KLANCEE M HONEA
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Credential |
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Telephone | 210-616-9500
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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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