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General NPI Number Information
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NPI Number | 1497902928
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Entity Type | Organization
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Legal Business Name | NEVADA SLEEP DIAGNOSTICS, INC.
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Dates
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Enumeration Date | 08/27/2008
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Last Update Date | 01/06/2020
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Provider Practice Location Address
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Address Line | 661 S BLAGG RD
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City | PAHRUMP
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State | NV
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Zip | 89048-2112
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Country | US
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Telephone | 702-990-7660
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Fax | 702-990-7665
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Provider Business Mailing Address
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Address Line | 8935 S PECOS RD STE 22D
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City | HENDERSON
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State | NV
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Zip | 89074-7155
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Country | US
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Telephone | 702-990-7660
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Fax | 702-990-7665
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Authorized Official
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Title or Position | COO/CFO
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Name | MR. ROBERT H LABANOWSKI
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Credential | CPA
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Telephone | 702-990-7660
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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 | 9072
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License Number State | NV
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