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General NPI Number Information
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NPI Number | 1922386432
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Entity Type | Organization
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Legal Business Name | LONG BEACH SLEEP INSTITUTE
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Dates
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Enumeration Date | 08/01/2011
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Last Update Date | 08/01/2011
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Provider Practice Location Address
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Address Line | 4300 LONG BEACH BLVD SUITE 160
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City | LONG BEACH
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State | CA
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Zip | 90807-2011
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Country | US
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Telephone | 805-497-7378
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Fax | 562-490-8624
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Provider Business Mailing Address
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Address Line | 250 N WESTLAKE BLVD SUITE 130
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-3700
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Country | US
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Telephone | 805-497-7378
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Fax | 805-497-3776
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Authorized Official
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Title or Position | OWNER
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Name | MR. KEITH M WOODS
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Credential |
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Telephone | 805-497-7378
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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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