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General NPI Number Information
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NPI Number | 1194152249
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Entity Type | Organization
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Legal Business Name | LUNDBERG SLEEP STUDIES
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Dates
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Enumeration Date | 10/03/2013
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Last Update Date | 10/03/2013
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Provider Practice Location Address
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Address Line | 1940 FEATHER RIVER BLVD., SUITE #O
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City | OROVILLE
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State | CA
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Zip | 95965
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Country | US
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Telephone | 530-534-5353
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Fax |
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Provider Business Mailing Address
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Address Line | 1940 FEATHER RIVER BLVD STE O
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City | OROVILLE
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State | CA
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Zip | 95965-5723
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Country | US
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Telephone | 530-534-5353
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. CALLIE ANN QUARELS-LARSON
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Credential | RMA
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Telephone | 530-534-5353
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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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