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General NPI Number Information
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NPI Number | 1558576108
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Entity Type | Organization
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Legal Business Name | REDWOOD SLEEP CENTER INC.
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 12/21/2024
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Provider Practice Location Address
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Address Line | 1615 HILL RD SUITE 16
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City | NOVATO
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State | CA
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Zip | 94947-4340
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Country | US
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Telephone | 415-898-0801
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Fax | 415-898-1580
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Provider Business Mailing Address
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Address Line | 1615 HILL RD SUITE 16
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City | NOVATO
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State | CA
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Zip | 94947-4340
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Country | US
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Telephone | 415-898-0801
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Fax | 415-898-1580
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | AILEEN TAN
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Credential |
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Telephone | 415-898-0801
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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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