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General NPI Number Information
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NPI Number | 1982752515
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Entity Type | Organization
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Legal Business Name | SLEEP CENTER ORANGE COUNTY, INC
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4980 BARRANCA PKWY STE 170
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City | IRVINE
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State | CA
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Zip | 92604-8652
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Country | US
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Telephone | 949-679-5510
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Fax | 949-679-1080
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Provider Business Mailing Address
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Address Line | 4980 BARRANCA PKWY STE 170
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City | IRVINE
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State | CA
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Zip | 92604-8652
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Country | US
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Telephone | 949-679-5510
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Fax | 949-679-1080
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Authorized Official
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Title or Position | CFO
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Name | MRS. JANETTE S FLEMING
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Credential |
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Telephone | 949-679-5510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A70474
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License Number State | CA
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