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General NPI Number Information
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NPI Number | 1073998340
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Entity Type | Organization
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Legal Business Name | AFFINITY HEALTH AND WELLNESS
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Dates
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Enumeration Date | 07/28/2015
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Last Update Date | 02/16/2017
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Provider Practice Location Address
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Address Line | 2261 PYRAMID WAY SUITE 5
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City | SPARKS
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State | NV
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Zip | 89431-2189
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Country | US
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Telephone | 775-358-3590
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Fax | 775-358-3844
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Provider Business Mailing Address
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Address Line | 2261 PYRAMID WAY SUITE 5
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City | SPARKS
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State | NV
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Zip | 89431-2189
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Country | US
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Telephone | 775-358-3590
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Fax | 775-358-3844
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Authorized Official
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Title or Position | OWNER
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Name | DR. JULIA MILLER
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Credential | DC
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Telephone | 509-991-7731
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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 | DC 28823
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License Number State | CA
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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 | B015012
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License Number State | NV
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