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General NPI Number Information
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NPI Number | 1184068165
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Entity Type | Organization
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Legal Business Name | NORTHWEST HEALTH GROUP, INC.
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Dates
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Enumeration Date | 04/22/2013
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Last Update Date | 05/01/2013
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Provider Practice Location Address
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Address Line | 7398 SMOKE RANCH RD
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City | LAS VEGAS
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State | NV
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Zip | 89128-0256
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Country | US
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Telephone | 702-254-7577
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Fax | 702-256-9181
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Provider Business Mailing Address
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Address Line | 7398 SMOKE RANCH RD
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City | LAS VEGAS
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State | NV
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Zip | 89128-0256
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Country | US
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Telephone | 702-254-7577
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Fax | 702-256-9181
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN KENNY
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Credential | DC
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Telephone | 702-254-7577
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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 | 3833
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License Number State | NV
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