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General NPI Number Information
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NPI Number | 1003259359
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Entity Type | Organization
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Legal Business Name | ALL CARE SLEEP CENTER, INC.
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Dates
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Enumeration Date | 04/16/2013
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Last Update Date | 09/18/2019
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Provider Practice Location Address
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Address Line | 5535 BALBOA BLVD SUITE 227
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City | ENCINO
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State | CA
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Zip | 91316-1516
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Country | US
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Telephone | 855-753-3790
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Fax | 818-857-5337
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Provider Business Mailing Address
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Address Line | 5535 BALBOA BLVD SUITE 227
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City | ENCINO
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State | CA
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Zip | 91316-1516
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Country | US
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Telephone | 855-753-3790
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Fax | 818-857-5337
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Authorized Official
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Title or Position | CEO
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Name | MIKE M. RAJAEE
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Credential |
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Telephone | 855-753-3790
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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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