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General NPI Number Information
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NPI Number | 1710848718
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Entity Type | Organization
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Legal Business Name | MOONLIGHT SLEEP CENTER INC
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Dates
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Enumeration Date | 11/19/2025
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 5000 LANKERSHIM BLVD STE 108
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601-4222
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Country | US
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Telephone | 818-813-8178
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Fax | 818-319-8179
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Provider Business Mailing Address
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Address Line | 5000 LANKERSHIM BLVD STE 108
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601-4222
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Country | US
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Telephone | 818-813-8178
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Fax | 818-319-8179
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Authorized Official
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Title or Position | CEO
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Name | LUSINE VARDANYAN
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Credential |
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Telephone | 818-813-8178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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