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General NPI Number Information
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NPI Number | 1114365731
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Entity Type | Organization
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Legal Business Name | DR. MIRIAM & SHELDON ADELSON CLINIC FOR DRUG ABUSE TREATMENT & RESEARC
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Dates
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Enumeration Date | 06/05/2013
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Last Update Date | 06/05/2013
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Provider Practice Location Address
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Address Line | 3661 S MARYLAND PKWY SUITE 64
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City | LAS VEGAS
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State | NV
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Zip | 89169-3003
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Country | US
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Telephone | 702-735-7900
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Fax | 702-735-0081
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Provider Business Mailing Address
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Address Line | 3661 S MARYLAND PKWY SUITE 64
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City | LAS VEGAS
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State | NV
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Zip | 89169-3003
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Country | US
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Telephone | 702-735-7900
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Fax | 702-735-0081
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | SHIRLEY LINZY
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Credential | RN, MS
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Telephone | 702-735-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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