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General NPI Number Information
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NPI Number | 1164603080
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Entity Type | Organization
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Legal Business Name | SIERRA HEALTH CONCERN, INC.
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Dates
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Enumeration Date | 11/20/2007
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Last Update Date | 01/13/2016
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Provider Practice Location Address
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Address Line | 5365 MAE ANNE AVE STE. B-2
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City | RENO
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State | NV
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Zip | 89523-1840
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Country | US
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Telephone | 775-324-3700
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Fax | 775-324-2370
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Provider Business Mailing Address
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Address Line | 5365 MAE ANNE AVE STE B-2
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City | RENO
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State | NV
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Zip | 89523-1840
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Country | US
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Telephone | 775-324-3700
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Fax | 775-324-2370
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID ROVETTI
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Credential | D.C.
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Telephone | 775-324-3700
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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 | B-00317
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License Number State | NV
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