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General NPI Number Information
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NPI Number | 1760038145
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Entity Type | Organization
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Legal Business Name | PRIORITY SLEEP CENTERS, LLC
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Dates
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Enumeration Date | 08/12/2019
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Last Update Date | 08/12/2019
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Provider Practice Location Address
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Address Line | 7965 VINEYARD AVE STE F7
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-2313
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Country | US
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Telephone | 626-342-9372
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Fax |
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Provider Business Mailing Address
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Address Line | 16573 JACKSON CT
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City | FONTANA
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State | CA
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Zip | 92336-2052
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Country | US
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Telephone | 626-342-9372
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JESSE CERRILLO
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Credential |
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Telephone | 626-342-9372
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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 |
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