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General NPI Number Information
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NPI Number | 1144343450
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Entity Type | Organization
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Legal Business Name | LEADING EDGE CHIROPRACTIC LTD
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 10635 PROFESSIONAL CIR STE B
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City | RENO
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State | NV
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Zip | 89521-5836
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Country | US
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Telephone | 775-284-4900
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Fax | 775-284-4902
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Provider Business Mailing Address
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Address Line | 10635 PROFESSIONAL CIR STE B SUITE B
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City | RENO
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State | NV
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Zip | 89521-5836
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Country | US
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Telephone | 775-284-4900
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Fax | 775-284-4902
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. BRYAN C HANSEN
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Credential | DC
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Telephone | 775-284-4900
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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 | B01030
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License Number State | NV
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