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General NPI Number Information
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NPI Number | 1538030663
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Entity Type | Organization
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Legal Business Name | SLIIIP MEDICAL GROUP OF CALIFORNIA PC
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Dates
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Enumeration Date | 09/12/2025
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 2505 LUCAS ST STE B
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City | EUREKA
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State | CA
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Zip | 95501-3340
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Country | US
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Telephone | 478-238-3552
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Fax | 478-259-6170
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Provider Business Mailing Address
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Address Line | 212 GA HIGHWAY 49 N STE 1900
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City | BYRON
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State | GA
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Zip | 31008-4059
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Country | US
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Telephone | 478-238-3552
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Fax | 478-259-6170
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Authorized Official
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Title or Position | OWNER
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Name | AVINESH BHAR JASWINDAR SINGH
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Credential | MD
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Telephone | 478-238-3552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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