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General NPI Number Information
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NPI Number | 1427277623
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Entity Type | Organization
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Legal Business Name | SLEEP MEDICINE CENTER
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 777 KNOWLES DR STE 8
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City | LOS GATOS
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State | CA
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Zip | 95032-1417
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Country | US
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Telephone | 408-730-8082
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Fax | 408-730-0548
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Provider Business Mailing Address
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Address Line | 777 KNOWLES DR STE 8
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City | LOS GATOS
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State | CA
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Zip | 95032-1417
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Country | US
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Telephone | 408-730-8082
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Fax | 408-730-0548
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Authorized Official
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Title or Position | SECRETARY
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Name | DR. GRACE ZAPATA ANG
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Credential | MD
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Telephone | 408-730-8082
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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 | 041749
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License Number State | CA
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