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General NPI Number Information
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NPI Number | 1316257330
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Entity Type | Organization
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Legal Business Name | BRIGGS CHIROPRACTIC PC
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Dates
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Enumeration Date | 10/08/2010
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Last Update Date | 10/08/2010
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Provider Practice Location Address
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Address Line | 9555 S EASTERN AVE SUITE 240
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City | LAS VEGAS
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State | NV
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Zip | 89123-7992
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Country | US
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Telephone | 702-385-3090
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Fax | 702-896-1217
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Provider Business Mailing Address
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Address Line | 1736 E CHARLESTON BLVD #337
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City | LAS VEGAS
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State | NV
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Zip | 89104-7900
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Country | US
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Telephone | 702-385-3090
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Fax | 702-896-1217
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JO BRIGGS
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Credential | D.C.
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Telephone | 702-385-3090
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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 | B253
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License Number State | NV
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