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General NPI Number Information
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NPI Number | 1598000358
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Entity Type | Organization
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Legal Business Name | DIAGNOSTIC SLEEP CENTER OF CALIFORNIA
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Dates
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Enumeration Date | 12/05/2012
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Last Update Date | 12/05/2012
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Provider Practice Location Address
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Address Line | 2851 W 120TH ST SUITE E1801
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City | HAWTHORNE
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State | CA
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Zip | 90250-3395
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Country | US
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Telephone | 310-844-6036
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Fax | 310-848-1315
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Provider Business Mailing Address
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Address Line | 2851 W 120TH ST SUITE E1801
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City | HAWTHORNE
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State | CA
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Zip | 90250-3395
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Country | US
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Telephone | 310-844-6036
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Fax | 310-848-1315
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Authorized Official
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Title or Position | OWNER
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Name | ERIC JAY
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Credential |
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Telephone | 310-844-6036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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