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General NPI Number Information
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NPI Number | 1942216601
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Entity Type | Organization
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Legal Business Name | SLEEP TELEMEDICINE SERVICES, INC
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 04/04/2014
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Provider Practice Location Address
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Address Line | 910 W TERRELL AVE N
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City | FORT WORTH
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State | TX
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Zip | 76104-3034
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Country | US
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Telephone | 800-657-1920
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Fax | 817-820-0430
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Provider Business Mailing Address
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Address Line | 908 W TERRELL AVE N
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City | FORT WORTH
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State | TX
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Zip | 76104-3034
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Country | US
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Telephone | 800-657-1920
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Fax | 817-820-0430
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Authorized Official
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Title or Position | VP
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Name | MS. ANN C REYNOLDS
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Credential |
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Telephone | 800-657-1920
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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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