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NPI 1750049029

NPI 1750049029 : DREEM SLEEP CLINIC OF CALIFORNIA : SOUTH SAN FRANCISCO, CA

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General NPI Number Information
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    NPI Number           |    1750049029
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    Entity Type          |    Organization 
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    Legal Business Name  |    DREEM SLEEP CLINIC OF CALIFORNIA 
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Dates
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    Enumeration Date     |    12/03/2021
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    Last Update Date     |    01/29/2025
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Provider Practice Location Address
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    Address Line         |    611 GATEWAY BLVD STE 120 
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    City                 |    SOUTH SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94080-7066
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    Country              |    US
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    Telephone            |    650-761-4056
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    Fax                  |    208-985-2965
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Provider Business Mailing Address
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    Address Line         |    121 W 36TH ST # 237 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10018-3612
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    Country              |    US
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    Telephone            |    650-761-4056
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    Fax                  |    208-985-2965
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Authorized Official
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    Title or Position    |    MEDICAL DIRECTOR
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    Name                 |     CHRISTOPHER  MORRISON 
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    Credential           |    MD
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    Telephone            |    650-761-4056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207QS1201X
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    Taxonomy Name        |    Sleep Medicine (Family Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QM1300X
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    Taxonomy Name        |    Multi-Specialty Clinic/Center
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    License Number       |    
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    License Number State |    
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