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General NPI Number Information
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NPI Number | 1831476944
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Entity Type | Organization
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Legal Business Name | SLEEP MANAGEMENT SERVICES, INC
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Dates
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Enumeration Date | 11/03/2011
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Last Update Date | 11/03/2011
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Provider Practice Location Address
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Address Line | 25109 JEFFERSON AVE STE 125
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City | MURRIETA
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State | CA
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Zip | 92562-8118
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Country | US
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Telephone | 951-290-7540
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Fax |
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Provider Business Mailing Address
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Address Line | 25109 JEFFERSON AVE STE 125
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City | MURRIETA
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State | CA
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Zip | 92562-8118
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Country | US
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Telephone | 951-290-7540
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. KRISTIN QUINTANILLA
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Credential |
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Telephone | 858-232-3143
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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 | 18932
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License Number State | CA
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