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General NPI Number Information
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NPI Number | 1992341432
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Entity Type | Organization
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Legal Business Name | RENUYOU SLEEP AND WELLNESS LLC
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Dates
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Enumeration Date | 11/19/2019
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Last Update Date | 11/19/2019
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Provider Practice Location Address
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Address Line | 401 W FAIRMONT PKWY STE F
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City | LA PORTE
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State | TX
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Zip | 77571-6314
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Country | US
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Telephone | 800-771-9138
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Fax |
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Provider Business Mailing Address
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Address Line | 12807 DADEBROOK CT
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City | HOUSTON
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State | TX
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Zip | 77041-7306
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL EXECUTIVE
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Name | MRS. BETH SIDNEY
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Credential |
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Telephone | 619-752-2234
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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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