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General NPI Number Information
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NPI Number | 1114686631
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Entity Type | Organization
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Legal Business Name | IN SOMNO SECURITAS A PROFESSIONAL NURSING CORPORATION
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Dates
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Enumeration Date | 12/13/2021
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 950 BUTTE ST
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City | REDDING
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State | CA
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Zip | 96001-0827
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Country | US
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Telephone | 530-223-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 1314 22ND AVE UNIT 22070
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City | SAN FRANCISCO
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State | CA
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Zip | 94122-1650
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Country | US
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Telephone | 415-290-1884
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. KENNETH DEWEY CHILDERS JR.
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Credential | CRNA
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Telephone | 415-290-1884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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