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General NPI Number Information
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NPI Number | 1679520241
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Entity Type | Organization
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Legal Business Name | CALIFORNIA SLEEP SOLUTIONS, LLC
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1130 CONROY LN STE 403
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City | ROSEVILLE
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State | CA
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Zip | 95661-4153
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Country | US
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Telephone | 916-789-0112
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Fax | 916-789-0529
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Provider Business Mailing Address
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Address Line | 1130 CONROY LANE 600
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City | ROSEVILLE
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State | CA
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Zip | 95661-4153
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Country | US
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Telephone | 916-789-0112
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Fax | 916-789-0529
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Authorized Official
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Title or Position | PRESIDENT
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Name | WADE A WILLIAMS
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Credential |
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Telephone | 916-789-0112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 45325
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License Number State | CA
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Taxonomy #2
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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 | CA
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