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General NPI Number Information
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NPI Number | 1558556167
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Entity Type | Organization
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Legal Business Name | DOWNEY SLEEP ASSOCIATES
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Dates
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Enumeration Date | 09/07/2007
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Last Update Date | 09/07/2007
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Provider Practice Location Address
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Address Line | 10642 DOWNEY AVE 100
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City | DOWNEY
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State | CA
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Zip | 90241-3442
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Country | US
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Telephone | 562-622-3732
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Fax | 562-622-3772
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Provider Business Mailing Address
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Address Line | PO BOX 5128
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City | DOWNEY
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State | CA
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Zip | 90241-8128
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Country | US
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Telephone | 562-622-3732
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Fax | 562-622-3772
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHRISTOPHER A MONGE
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Credential | RPSGT
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Telephone | 562-622-3732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225500000X
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Taxonomy Name | Respiratory/Developmental/Rehabilitative Specialist/Technologist
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License Number | 200
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License Number State | CA
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