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General NPI Number Information
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NPI Number | 1003842238
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Entity Type | Individual
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Provider Name | ALLEN I-HAN SU D.C., M.A.O.M.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 02/26/2015
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Provider Practice Location Address
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Address Line | 5288 SPRING MOUNTAIN RD SUITE 200
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City | LAS VEGAS
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State | NV
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Zip | 89146-8723
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Country | US
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Telephone | 702-826-2298
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Fax | 702-826-2877
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Provider Business Mailing Address
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Address Line | 5288 SPRING MOUNTAIN RD SUITE 200
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City | LAS VEGAS
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State | NV
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Zip | 89146-8723
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Country | US
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Telephone | 702-826-2298
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Fax | 702-826-2877
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | B02011
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC 29177
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License Number State | CA
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