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General NPI Number Information
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NPI Number | 1649714601
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Entity Type | Organization
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Legal Business Name | SLEEP & CHILDREN PULMONARY CENTER INC
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Dates
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Enumeration Date | 12/11/2016
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Last Update Date | 01/30/2024
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Provider Practice Location Address
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Address Line | 241 S EUCLID AVE
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City | PASADENA
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State | CA
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Zip | 91101-2717
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Country | US
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Telephone | 626-460-8850
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Fax | 844-287-9296
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Provider Business Mailing Address
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Address Line | 241 S EUCLID AVE
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City | PASADENA
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State | CA
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Zip | 91101-2717
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Country | US
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Telephone | 626-460-8850
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Fax | 844-287-9296
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SALMAN KHAN
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Credential | MD
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Telephone | 626-787-1060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080S0012X
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Taxonomy Name | Pediatric Sleep Medicine Physician
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License Number | A121566
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number | A121566
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License Number State | CA
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