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General NPI Number Information
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NPI Number | 1093723769
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Entity Type | Organization
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Legal Business Name | SLEEPMED OF CALIFORNIA
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 10/19/2009
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Provider Practice Location Address
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Address Line | 959 E WALNUT ST SUITE 150
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City | PASADENA
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State | CA
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Zip | 91106-1451
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Country | US
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Telephone | 978-536-7400
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Fax | 978-535-9757
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Provider Business Mailing Address
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Address Line | 200 CORPORATE PL SUITE 5B
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City | PEABODY
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State | MA
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Zip | 01960-3840
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Country | US
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Telephone | 978-536-7400
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Fax | 978-535-9757
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Authorized Official
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Title or Position | EVP CFO
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Name | MR. CARL R. IBERGER
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Credential |
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Telephone | 978-536-7400
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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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