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General NPI Number Information
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NPI Number | 1093753931
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Entity Type | Organization
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Legal Business Name | OXNARD ADVANCED DIAGNOSTIC, INC.
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 650 HOBSON WAY SUITE 103
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City | OXNARD
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State | CA
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Zip | 93030-6706
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Country | US
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Telephone | 805-487-2606
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Fax | 805-487-2602
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Provider Business Mailing Address
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Address Line | 650 HOBSON WAY SUITE 103
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City | OXNARD
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State | CA
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Zip | 93030-6706
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Country | US
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Telephone | 805-487-2606
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Fax | 805-487-2602
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. JANETTE ANDERSON
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Credential |
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Telephone | 805-487-2606
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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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