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General NPI Number Information
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NPI Number | 1639029606
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Entity Type | Organization
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Legal Business Name | SOMNI NEUROSLEEP DIAGNOSTICS
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 285 W SHAW AVE STE 206
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City | FRESNO
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State | CA
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Zip | 93704-2654
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Country | US
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Telephone | 559-500-0234
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Fax | 888-559-0048
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Provider Business Mailing Address
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Address Line | 285 W SHAW AVE STE 206
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City | FRESNO
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State | CA
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Zip | 93704-2654
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Country | US
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Telephone | 559-500-0234
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Fax | 888-559-0048
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Authorized Official
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Title or Position | CEO
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Name | GERSON BALTAZAR
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Credential |
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Telephone | 559-410-1200
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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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Taxonomy #2
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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