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General NPI Number Information
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NPI Number | 1952331951
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Entity Type | Organization
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Legal Business Name | SONNO SLEEP CENTER OF NEW MEXICO, P.A.
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 10/07/2022
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Provider Practice Location Address
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Address Line | 2311 N MESA ST STE E
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City | EL PASO
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State | TX
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Zip | 79902-3575
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Country | US
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Telephone | 915-533-8499
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Fax | 915-544-4929
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Provider Business Mailing Address
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Address Line | 1004 QUINTA ANTIGUA LN
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City | EL PASO
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State | TX
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Zip | 79912-2039
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Country | US
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Telephone | 915-533-8499
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Fax | 915-544-4929
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Authorized Official
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Title or Position | PRESIDENT
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Name | GONZALO A DIAZ
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Credential | M.D.
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Telephone | 915-533-8499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD2005-0728
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License Number State | NM
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