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General NPI Number Information
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NPI Number | 1407866239
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Entity Type | Organization
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Legal Business Name | SLEEP DISORDERS OF PALM SPRINGS
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 06/02/2008
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Provider Practice Location Address
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Address Line | 1330 N INDIAN CANYON DR STE H
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4880
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Country | US
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Telephone | 760-778-1320
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Fax | 760-778-1360
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Provider Business Mailing Address
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Address Line | PO BOX 1311
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City | PALM SPRINGS
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State | CA
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Zip | 92263-1311
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Country | US
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Telephone | 760-778-1320
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Fax | 760-778-1360
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Authorized Official
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Title or Position | OWNER
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Name | MR. THOMAS MICHAEL HALL
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Credential | RPSGT
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Telephone | 760-778-1320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State | CA
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