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General NPI Number Information
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NPI Number | 1013006535
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Entity Type | Organization
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Legal Business Name | FAMILY CHIROPRACTIC INC
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 03/30/2012
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Provider Practice Location Address
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Address Line | 2281 PYRAMID WAY STE 16
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City | SPARKS
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State | NV
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Zip | 89431-2119
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Country | US
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Telephone | 775-355-6711
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Fax | 775-355-7045
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Provider Business Mailing Address
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Address Line | 2281 PYRAMID WAY STE 16
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City | SPARKS
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State | NV
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Zip | 89431-2119
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Country | US
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Telephone | 775-355-6711
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Fax | 775-355-7045
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | JAMES W KIMBRIEL
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Credential | DC
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Telephone | 775-355-6711
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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 | B454
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License Number State | NV
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