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General NPI Number Information
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NPI Number | 1265509814
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Entity Type | Organization
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Legal Business Name | NORTH VALLEY SLEEP DISORDER CENTER
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11550 INDIAN HILLS RD STE 291
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City | MISSION HILLS
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State | CA
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Zip | 91345-1244
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Country | US
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Telephone | 818-361-0996
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Fax | 818-365-7284
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Provider Business Mailing Address
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Address Line | 11550 INDIAN HILLS RD STE 291
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City | MISSION HILLS
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State | CA
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Zip | 91345-1244
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Country | US
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Telephone | 818-361-0996
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Fax | 818-365-7284
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Authorized Official
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Title or Position | CEO
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Name | DR. MICHAEL STEVENSON
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Credential | PH.D.
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Telephone | 818-361-0996
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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 | FNP14635
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License Number State | CA
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