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General NPI Number Information
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NPI Number | 1235852476
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Entity Type | Organization
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Legal Business Name | PERPETUAL CHIROPRACTIC PHYSICIANS
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Dates
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Enumeration Date | 09/22/2022
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Last Update Date | 09/22/2022
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Provider Practice Location Address
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Address Line | 3047 S DECATUR BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89102-7144
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Country | US
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Telephone | 702-222-3288
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Fax |
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Provider Business Mailing Address
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Address Line | 3047 S DECATUR BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89102-7144
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Country | US
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Telephone | 702-222-3288
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SONNY HO
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Credential | D.C
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Telephone | 702-460-3288
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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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