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General NPI Number Information
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NPI Number | 1912157884
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Entity Type | Organization
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Legal Business Name | THE ARLINGTON SLEEP DISORDER CENTER PA
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Dates
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Enumeration Date | 09/26/2008
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Last Update Date | 09/19/2018
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Provider Practice Location Address
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Address Line | 6518 S COOPER ST
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City | ARLINGTON
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State | TX
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Zip | 76001-5620
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Country | US
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Telephone | 817-962-0381
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Fax |
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Provider Business Mailing Address
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Address Line | 6518 S COOPER ST
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City | ARLINGTON
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State | TX
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Zip | 76001-5620
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Country | US
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Telephone | 817-962-0381
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Fax | 817-962-0385
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | TERRINA RICHARD
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Credential |
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Telephone | 817-962-0381
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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 | J8513
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License Number State | TX
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