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General NPI Number Information
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NPI Number | 1063606291
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Entity Type | Organization
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Legal Business Name | ALAN J. SACKS, M.D., LTD, PC
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Dates
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Enumeration Date | 08/30/2007
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Last Update Date | 04/03/2012
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Provider Practice Location Address
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Address Line | 2020 GOLDRING AVE SUITE 404
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City | LAS VEGAS
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State | NV
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Zip | 89106-4000
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Country | US
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Telephone | 702-471-7721
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Fax | 702-471-7780
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Provider Business Mailing Address
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Address Line | 2020 GOLDRING AVE SUITE 404
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City | LAS VEGAS
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State | NV
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Zip | 89106-4000
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Country | US
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Telephone | 702-471-7721
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Fax | 702-471-7780
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Authorized Official
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Title or Position | PHYSICIAN/PRESIDENT
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Name | ALAN J. SACKS
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Credential | M.D.
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Telephone | 702-471-7721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 9280
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License Number State | NV
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