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General NPI Number Information
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NPI Number | 1518783430
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Entity Type | Organization
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Legal Business Name | EVRIKA DIAGNOSTICS INC
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 14621 TITUS ST STE 200
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City | PANORAMA CITY
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State | CA
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Zip | 91402-4967
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Country | US
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Telephone | 424-303-2742
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Fax |
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Provider Business Mailing Address
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Address Line | 14621 TITUS ST STE 200
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City | PANORAMA CITY
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State | CA
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Zip | 91402-4967
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Country | US
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Telephone | 424-303-2742
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | HANNA PIIASIUK
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Credential |
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Telephone | 424-303-2742
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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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