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General NPI Number Information
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NPI Number | 1841489499
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Entity Type | Organization
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Legal Business Name | SLEEP DIAGNOSTIC SERVICES CORPORATION
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 10/19/2007
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Provider Practice Location Address
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Address Line | 6047 TAMPA AVE
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City | TARZANA
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State | CA
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Zip | 91356
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Country | US
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Telephone | 866-768-0629
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Fax | 866-968-0642
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Provider Business Mailing Address
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Address Line | 6047 TAMPA AVE SUITE #102
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City | TARZANA
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State | CA
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Zip | 91356-1158
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Country | US
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Telephone | 866-768-0629
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Fax | 866-968-0642
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. LILY GARO
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Credential |
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Telephone | 714-668-0629
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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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