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General NPI Number Information
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NPI Number | 1700830783
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Entity Type | Organization
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Legal Business Name | FREMONT SLEEP APNEA CENTER, LLC
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 03/23/2009
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Provider Practice Location Address
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Address Line | 556 MOWRY AVE SUITE 102
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City | FREMONT
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State | CA
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Zip | 94536-4186
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Country | US
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Telephone | 510-742-5432
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Fax | 510-742-8767
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Provider Business Mailing Address
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Address Line | 556 MOWRY AVE SUITE 102
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City | FREMONT
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State | CA
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Zip | 94536-4186
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Country | US
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Telephone | 510-742-5432
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Fax | 510-742-8767
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SARBJIT DHESI
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Credential | D.C.
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Telephone | 510-742-9143
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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 | 5468
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License Number State | CA
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