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General NPI Number Information
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NPI Number | 1821162850
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Entity Type | Organization
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Legal Business Name | SLEEP DISORDER DIAGNOSTIC CENTER
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 600 NW 35TH AVE STE 203
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City | MIAMI
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State | FL
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Zip | 33125-4000
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Country | US
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Telephone | 305-642-3724
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Fax | 305-643-2228
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Provider Business Mailing Address
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Address Line | 600 NW 35TH AVE STE 203
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City | MIAMI
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State | FL
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Zip | 33125-4000
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Country | US
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Telephone | 305-642-3724
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Fax | 305-643-2228
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CIRO CALDERON
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Credential |
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Telephone | 305-642-3724
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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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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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