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General NPI Number Information
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NPI Number | 1174915003
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Entity Type | Organization
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Legal Business Name | EENA COMPREHENSIVE NEUROLOGY & SLEEP CENTER
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Dates
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Enumeration Date | 03/02/2015
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Last Update Date | 03/02/2015
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Provider Practice Location Address
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Address Line | 9868 S STATE ROAD 7 SUITE 315
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City | BOYNTON BEACH
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State | FL
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Zip | 33472-4602
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Country | US
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Telephone | 561-742-7003
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Fax | 561-737-1984
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Provider Business Mailing Address
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Address Line | 9868 S STATE ROAD 7 SUITE 315
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City | BOYNTON BEACH
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State | FL
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Zip | 33472-4602
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Country | US
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Telephone | 561-742-7003
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Fax | 561-737-1984
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Authorized Official
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Title or Position | OWNER
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Name | NADIR OSMAN
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Credential | MD
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Telephone | 561-742-7003
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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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