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General NPI Number Information
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NPI Number | 1821360470
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Entity Type | Organization
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Legal Business Name | SLEEP CLOUD, TRUST
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Dates
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Enumeration Date | 01/29/2012
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Last Update Date | 01/29/2012
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Provider Practice Location Address
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Address Line | 4731 GLEN IVY RD
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City | LA VERNE
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State | CA
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Zip | 91750-2311
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Country | US
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Telephone | 805-626-8767
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Fax |
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Provider Business Mailing Address
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Address Line | 221 W LOS OLIVOS ST SUITE B
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City | SANTA BARBARA
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State | CA
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Zip | 93105-3898
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Country | US
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Telephone | 626-513-4296
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Fax |
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Authorized Official
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Title or Position | TTEE
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Name | AMANDA TAPIA
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Credential |
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Telephone | 805-626-8767
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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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