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General NPI Number Information
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NPI Number | 1699963512
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Entity Type | Organization
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Legal Business Name | STARLIGHT SLEEP CENTER INC
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 04/16/2009
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Provider Practice Location Address
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Address Line | 5010 W SUNSET BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90027-5820
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Country | US
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Telephone | 323-660-5040
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Fax | 323-660-5041
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Provider Business Mailing Address
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Address Line | 5010 W SUNSET BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90027-5820
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Country | US
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Telephone | 323-660-5040
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Fax | 323-660-5041
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Authorized Official
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Title or Position | PRESIDENT
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Name | GEVORK MUTAFYAN
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Credential |
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Telephone | 818-833-9194
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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 | N/A
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License Number State |
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