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General NPI Number Information
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NPI Number | 1134428972
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Entity Type | Organization
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Legal Business Name | INTERNATIONAL INSTITUTE OF SLEEP OF LAS VEGAS, INC.
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Dates
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Enumeration Date | 03/18/2011
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Last Update Date | 03/18/2011
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Provider Practice Location Address
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Address Line | 4275 S BURNHAM AVENUE SUITE 355
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City | LAS VEGAS
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State | NV
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Zip | 89119
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Country | US
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Telephone | 800-481-3870
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Fax | 800-481-3859
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Provider Business Mailing Address
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Address Line | 2151 W HILLSBORO BLVD SUITE 100
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-1200
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Country | US
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Telephone | 800-481-3870
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Fax | 800-481-3859
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. GLENN A BECKER
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Credential |
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Telephone | 800-481-3870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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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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