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General NPI Number Information
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NPI Number | 1528248515
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Entity Type | Organization
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Legal Business Name | VALLEY OXIMETRY INCORPORATED
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 02/24/2017
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Provider Practice Location Address
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Address Line | 4141 N 32ND ST SUITE 104
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City | PHOENIX
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State | AZ
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Zip | 85018-4775
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Country | US
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Telephone | 480-830-3900
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Fax | 480-830-3901
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Provider Business Mailing Address
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Address Line | PO BOX 30388
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City | MESA
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State | AZ
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Zip | 85275-0388
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Country | US
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Telephone | 480-830-3900
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Fax | 480-830-3901
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MRS. LAURI L LEADLEY
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Credential | RCP, RPSGT
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Telephone | 480-830-3900
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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 | OTC 3943
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License Number State | AZ
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