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General NPI Number Information
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NPI Number | 1851084362
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Entity Type | Organization
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Legal Business Name | REFRESH SLEEP MEDICAL CLINIC
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Dates
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Enumeration Date | 05/31/2023
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Last Update Date | 05/31/2023
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Provider Practice Location Address
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Address Line | 5720 STONERIDGE MALL RD STE 310
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City | PLEASANTON
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State | CA
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Zip | 94588-2855
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Country | US
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Telephone | 925-255-1430
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Fax |
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Provider Business Mailing Address
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Address Line | 5720 STONERIDGE MALL RD STE 310
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City | PLEASANTON
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State | CA
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Zip | 94588-2855
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Country | US
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Telephone | 925-255-1430
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. RAGHUNANDANA KASETTY
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Credential | MD
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Telephone | 906-280-8136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080S0012X
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Taxonomy Name | Pediatric Sleep Medicine Physician
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License Number |
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License Number State |
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