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General NPI Number Information
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NPI Number | 1518325851
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Entity Type | Organization
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Legal Business Name | OK SLEEP, LLC
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Dates
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Enumeration Date | 02/02/2016
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Last Update Date | 02/02/2016
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Provider Practice Location Address
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Address Line | 3275 MOSS LANDING BLVD
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City | OXNARD
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State | CA
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Zip | 93036-5362
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Country | US
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Telephone | 760-412-1523
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Fax |
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Provider Business Mailing Address
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Address Line | 3275 MOSS LANDING BLVD
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City | OXNARD
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State | CA
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Zip | 93036-5362
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Country | US
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Telephone | 760-412-1523
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES OLSHEFSKI
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Credential |
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Telephone | 760-412-1523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 17-00114255
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License Number State | CA
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