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General NPI Number Information
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NPI Number | 1467821264
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Entity Type | Organization
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Legal Business Name | LANDERS INTENSIVE CARE SERVICES, LTD
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Dates
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Enumeration Date | 09/22/2015
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Last Update Date | 09/22/2015
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Provider Practice Location Address
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Address Line | 2879 GEARY PL UNIT 2811
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City | LAS VEGAS
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State | NV
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Zip | 89109-0218
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Country | US
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Telephone | 702-734-5050
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Fax | 702-731-9414
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Provider Business Mailing Address
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Address Line | 2879 GEARY PL UNIT 2811
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City | LAS VEGAS
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State | NV
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Zip | 89109-0218
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Country | US
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Telephone | 702-734-5050
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Fax | 702-731-9414
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. SHARON LANDERS
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Credential | MD
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Telephone | 702-734-5050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 7303
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 7303
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 7303
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License Number State | NV
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