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General NPI Number Information
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NPI Number | 1710323910
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Entity Type | Organization
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Legal Business Name | EENA COMPREHENSIVE NEUROLOGY AND SLEEP CENTER INC
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Dates
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Enumeration Date | 05/14/2013
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 9868 SOUTH STATE ROAD 7
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City | BOYTON BEACH
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State | FL
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Zip | 33472
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Country | US
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Telephone | 888-888-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 9868 SOUTH STATE ROAD 7
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City | BOYTON BEACH
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State | FL
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Zip | 33472
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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 | NADIS OSMAN
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Credential | MD
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Telephone | 888-888-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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