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General NPI Number Information
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NPI Number | 1013045566
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Entity Type | Organization
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Legal Business Name | WEST COAST SLEEP CENTERS,
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 03/11/2011
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Provider Practice Location Address
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Address Line | 3540 WILSHIRE BLVD SUITE 1014
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City | LOS ANGELES
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State | CA
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Zip | 90010-2307
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Country | US
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Telephone | 213-388-0734
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Fax | 213-388-3712
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Provider Business Mailing Address
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Address Line | 3540 WILSHIRE BLVD SUITE 1014
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City | LOS ANGELES
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State | CA
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Zip | 90010-2307
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Country | US
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Telephone | 213-388-0734
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Fax | 213-388-3712
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JACOB N FLORES
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Credential | M.D.
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Telephone | 213-388-0734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | A102066
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License Number State | CA
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