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General NPI Number Information
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NPI Number | 1639180276
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Entity Type | Organization
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Legal Business Name | RIFLEY INSTITUTE OF COSMETIC SURGERY
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2800 N TENAYA WAY STE 201
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City | LAS VEGAS
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State | NV
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Zip | 89128-0652
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Country | US
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Telephone | 702-242-4616
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Fax | 702-243-9219
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Provider Business Mailing Address
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Address Line | 2800 N TENAYA WAY STE 201
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City | LAS VEGAS
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State | NV
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Zip | 89128-0652
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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 | MEDICAL DIRECTOR
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Name | WILLIAM RIFLEY
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Credential | NMI
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Telephone | 702-242-4616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | 7465
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License Number State | NV
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