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General NPI Number Information
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NPI Number | 1255359378
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Entity Type | Organization
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Legal Business Name | PULMONARY MEDICINE ASSOCIATES SLEEP LAB INC.
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 10/09/2020
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Provider Practice Location Address
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Address Line | 1508 ALHAMBRA BLVD STE 200
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City | SACRAMENTO
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State | CA
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Zip | 95816-6510
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Country | US
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Telephone | 916-325-1040
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Fax | 916-451-1141
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Provider Business Mailing Address
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Address Line | 1300 ETHAN WAY STE 600
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City | SACRAMENTO
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State | CA
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Zip | 95825-2296
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Country | US
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Telephone | 916-679-3524
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Fax | 916-488-7432
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Authorized Official
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Title or Position | BUSINESS SERVICES MANAGER
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Name | STEPHANIE L EFSTRATIS
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Credential |
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Telephone | 916-679-3524
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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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