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NPI 1376367904

NPI 1376367904 : UNITE SLEEP CENTERS LLC : SPARKS, NV

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General NPI Number Information
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    NPI Number           |    1376367904
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNITE SLEEP CENTERS LLC 
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Dates
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    Enumeration Date     |    11/11/2024
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    Last Update Date     |    11/11/2024
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Provider Practice Location Address
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    Address Line         |    2145 GREEN VISTA DR STE 112 
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    City                 |    SPARKS
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    State                |    NV
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    Zip                  |    89431-8513
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    Country              |    US
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    Telephone            |    775-359-1660
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    Fax                  |    775-201-8376
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Provider Business Mailing Address
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    Address Line         |    2145 GREEN VISTA DR STE 112 
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    City                 |    SPARKS
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    State                |    NV
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    Zip                  |    89431-8513
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    Country              |    US
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    Telephone            |    775-359-1660
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    Fax                  |    775-201-8376
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Authorized Official
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    Title or Position    |    CO-OWNER/MANAGING MEMBER
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    Name                 |     JOHN LEE HICKOK III
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    Credential           |    
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    Telephone            |    775-359-1660
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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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