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General NPI Number Information
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NPI Number | 1982666947
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Entity Type | Organization
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Legal Business Name | DIABETES HEALTH CENTERS INC
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 08/15/2007
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Provider Practice Location Address
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Address Line | 2550 S RAINBOW BLVD STE E19
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City | LAS VEGAS
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State | NV
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Zip | 89146-5175
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Country | US
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Telephone | 702-257-9713
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Fax | 702-968-9988
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Provider Business Mailing Address
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Address Line | 2550 S RAINBOW BLVD STE. E19
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City | LAS VEGAS
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State | NV
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Zip | 89146-5175
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Country | US
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Telephone | 702-257-9713
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Fax | 702-968-9988
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. THOMAS W SHAFFER
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Credential |
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Telephone | 702-257-9713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | MP00373
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License Number State | NV
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