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General NPI Number Information
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NPI Number | 1205109733
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Entity Type | Individual
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Provider Name | DARRIN DEVOREE BANG DC
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Gender | Male
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Dates
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Enumeration Date | 02/14/2012
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Last Update Date | 03/30/2018
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Provider Practice Location Address
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Address Line | 2415 LAS VEGAS BLVD N STE 105
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-5861
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Country | US
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Telephone | 702-382-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 7255 W SUNSET RD APT 2105
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City | LAS VEGAS
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State | NV
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Zip | 89113-1913
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Country | US
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Telephone | 702-752-9258
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | B01619
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License Number State | NV
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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 | 11742
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License Number State | TX
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