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General NPI Number Information
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NPI Number | 1134533888
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Entity Type | Organization
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Legal Business Name | ABSOLUTE SLEEP CENTERS LLC
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Dates
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Enumeration Date | 06/19/2014
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Last Update Date | 06/19/2014
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Provider Practice Location Address
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Address Line | 12600 HESPERIA RD STE D
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City | VICTORVILLE
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State | CA
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Zip | 92395-5899
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Country | US
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Telephone | 909-915-4756
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Fax | 760-513-9688
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Provider Business Mailing Address
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Address Line | 9335 AGAVE DR
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City | HESPERIA
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State | CA
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Zip | 92344-4691
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Country | US
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Telephone | 909-915-4756
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Fax | 760-513-9688
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Authorized Official
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Title or Position | CEO
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Name | LISBET NELSON
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Credential |
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Telephone | 909-915-4756
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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 |
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License Number State |
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