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General NPI Number Information
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NPI Number | 1861948309
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Entity Type | Organization
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Legal Business Name | SOUTH TEXAS SLEEP SERVICES, L.L.C.
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Dates
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Enumeration Date | 08/25/2016
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Last Update Date | 08/25/2016
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Provider Practice Location Address
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Address Line | 3333 N FOSTER MALDONADO BLVD 2ND FLOOR
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City | EAGLE PASS
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State | TX
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Zip | 78852-5893
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Country | US
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Telephone | 276-608-6807
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Fax | 877-850-4665
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Provider Business Mailing Address
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Address Line | 1321 FLORIDA AVE
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City | CORPUS CHRISTI
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State | TX
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Zip | 78415-4313
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Country | US
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Telephone | 276-608-6807
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ DIRECTOR
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Name | MRS. MONICA SOLIZ-DISHMAN
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Credential |
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Telephone | 276-608-6807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | TX
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