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General NPI Number Information
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NPI Number | 1295274488
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Entity Type | Organization
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Legal Business Name | ADVANCED SLEEP DIAGNOSTICS, INC.
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Dates
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Enumeration Date | 02/21/2017
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Last Update Date | 02/27/2020
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Provider Practice Location Address
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Address Line | 2637 SHADELANDS DR
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City | WALNUT CREEK
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State | CA
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Zip | 94598-2512
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Country | US
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Telephone | 925-481-5950
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Fax | 925-481-5951
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Provider Business Mailing Address
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Address Line | 2637 SHADELANDS DR
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City | WALNUT CREEK
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State | CA
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Zip | 94598-2512
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Country | US
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Telephone | 925-948-8143
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Fax | 925-215-4540
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GREGORY RHODES
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Credential | MD
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Telephone | 925-932-6330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YS0012X
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Taxonomy Name | Sleep Medicine (Otolaryngology) Physician
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License Number |
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License Number State |
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