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General NPI Number Information
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NPI Number | 1427001353
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Entity Type | Organization
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Legal Business Name | SLEEP CENTER OF SO ORANGE CTY
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9663 SANTA MONICA BLVD
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4303
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Country | US
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Telephone | 949-364-6600
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Fax | 949-364-7065
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Provider Business Mailing Address
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Address Line | 27882 FORBES RD
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-1219
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Country | US
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Telephone | 949-364-6600
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Fax | 949-364-7065
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Authorized Official
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Title or Position | PARTNER
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Name | ABRAHAM ISHAAYA
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Credential | MD
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Telephone | 949-364-6600
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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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