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General NPI Number Information
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NPI Number | 1144415134
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Entity Type | Organization
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Legal Business Name | SLEEPCARE SOURCE, LLC
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 11/16/2020
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Provider Practice Location Address
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Address Line | 4629 WHITNEY AVE SUITE 3
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City | SACRAMENTO
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State | CA
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Zip | 95821-4119
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Country | US
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Telephone | 916-482-2727
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Fax | 916-488-2727
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Provider Business Mailing Address
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Address Line | 4629 WHITNEY AVE SUITE 3
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City | SACRAMENTO
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State | CA
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Zip | 95821-4119
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Country | US
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Telephone | 916-482-2727
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Fax | 916-488-2727
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Authorized Official
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Title or Position | PRESIDENT
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Name | KRISTY L CORPENING
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Credential |
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Telephone | 916-482-2727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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