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General NPI Number Information
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NPI Number | 1437965282
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Entity Type | Organization
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Legal Business Name | SIERRA NEVADA SLEEP LLC
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Dates
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Enumeration Date | 12/06/2024
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 5148 DRIFTSTONE AVE
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City | RENO
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State | NV
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Zip | 89523
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Country | US
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Telephone | 775-241-3623
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Fax |
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Provider Business Mailing Address
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Address Line | 5150 MAE ANNE AVE STE 405
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City | RENO
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State | NV
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Zip | 89523-1859
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH BELTON
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Credential | APRN
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Telephone | 775-450-0763
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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