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General NPI Number Information
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NPI Number | 1962456020
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Entity Type | Organization
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Legal Business Name | DELTA SLEEP DIAGNOSTICS, INC.
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2770 OLIVE HWY SUITE C
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City | OROVILLE
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State | CA
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Zip | 95966-6117
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Country | US
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Telephone | 530-589-7864
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Fax | 530-589-7868
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Provider Business Mailing Address
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Address Line | 2202 CHERRY GLENN CT
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City | CHICO
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State | CA
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Zip | 95926-2014
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Country | US
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Telephone | 530-864-2109
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Fax | 530-589-7868
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHELLE ANN FEHLING
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Credential | RPSGT
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Telephone | 530-864-2109
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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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