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General NPI Number Information
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NPI Number | 1699886911
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Entity Type | Organization
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Legal Business Name | ALLIANCE SLEEP CENTER INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2763 EAST SHAW AVENUE #106
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City | FRESNO
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State | CA
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Zip | 93710-8220
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Country | US
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Telephone | 559-291-2400
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Fax | 559-291-2422
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Provider Business Mailing Address
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Address Line | 2763 EAST SHAW AVENUE #106
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City | FRESNO
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State | CA
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Zip | 93710-8220
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Country | US
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Telephone | 559-291-2400
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Fax | 559-291-2422
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN RICHARD FAGUNDES
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Credential | CRT
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Telephone | 58599062551
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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 | CA
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