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General NPI Number Information
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NPI Number | 1972038636
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Entity Type | Organization
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Legal Business Name | IN HIS IMAGE INTERNAL MEDICINE & SLEEP MEDICINE ASSOCIATES INC.
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Dates
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Enumeration Date | 05/01/2017
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Last Update Date | 04/28/2023
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Provider Practice Location Address
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Address Line | 7801 MID CITIES BLVD STE 300
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76182-4699
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Country | US
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Telephone | 817-770-0933
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Fax |
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Provider Business Mailing Address
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Address Line | 7801 MID CITIES BLVD STE 300
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76182-4699
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Country | US
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Telephone | 817-770-0933
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NADER EWAIDA
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Credential | M.D
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Telephone | 302-752-7179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | Q9154
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License Number State | TX
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