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General NPI Number Information
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NPI Number | 1023447125
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Entity Type | Organization
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Legal Business Name | SCHWARTZ CHIROPRACTIC PC
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Dates
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Enumeration Date | 11/08/2013
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Last Update Date | 11/08/2013
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Provider Practice Location Address
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Address Line | 3300 E FLAMINGO RD SUITE 11
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City | LAS VEGAS
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State | NV
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Zip | 89121-4307
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Country | US
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Telephone | 702-737-0564
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Fax | 702-737-8667
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Provider Business Mailing Address
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Address Line | 3300 E FLAMINGO RD SUITE NUMBER 11
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City | LAS VEGAS
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State | NV
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Zip | 89121-4307
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Country | US
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Telephone | 702-737-0546
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Fax | 702-737-8667
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PHILIP SCHWARTZ
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Credential | D.C.
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Telephone | 702-737-0564
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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 | B00241
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License Number State | NV
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