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General NPI Number Information
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NPI Number | 1417490616
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Entity Type | Organization
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Legal Business Name | SLEEPTEST LLC
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Dates
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Enumeration Date | 11/21/2016
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Last Update Date | 06/27/2022
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Provider Practice Location Address
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Address Line | 30011 IVY GLENN DR STE 222
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-5018
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Country | US
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Telephone | 800-753-3783
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Fax | 630-517-2003
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Provider Business Mailing Address
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Address Line | 30011 IVY GLENN DR STE 222
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-5018
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Country | US
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Telephone | 800-753-3783
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Fax | 630-517-2003
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | RYAN CYRUS JAVANBAKHT
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Credential |
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Telephone | 949-891-0303
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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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