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General NPI Number Information
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NPI Number | 1881769792
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Entity Type | Organization
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Legal Business Name | DALTON WELLNESS DIAGNOSTICS
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1411 CHATTANOOGA AVE STE 102
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City | DALTON
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State | GA
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Zip | 30720
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Country | US
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Telephone | 706-428-0831
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Fax | 706-428-2851
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Provider Business Mailing Address
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Address Line | 12 E GREENWAY PLZ STE 700
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City | HOUSTON
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State | TX
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Zip | 77046-1203
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Country | US
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Telephone | 281-381-8838
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Fax | 866-241-8647
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MS. PAIGE ARENSCHIELD
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Credential | CPC
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Telephone | 281-381-8838
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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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