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General NPI Number Information
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NPI Number | 1144682220
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE HEALTH & WELLNESS PRACTICES LLC
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Dates
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Enumeration Date | 03/28/2016
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Last Update Date | 03/28/2016
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Provider Practice Location Address
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Address Line | 6628 SKYPOINTE DRIVE SUITE 113
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City | LAS VEGAS
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State | NV
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Zip | 89131
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Country | US
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Telephone | 702-373-2453
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Fax |
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Provider Business Mailing Address
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Address Line | 6628 SKYPOINTE DRIVE SUITE 113
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City | LAS VEGAS
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State | NV
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Zip | 89131
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Country | US
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Telephone | 702-373-2453
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KURTIS WANKIER
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Credential |
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Telephone | 702-373-2453
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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