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General NPI Number Information
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NPI Number | 1316311244
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Entity Type | Organization
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Legal Business Name | HARMEL CHIROPRACTIC LLC
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Dates
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Enumeration Date | 11/16/2015
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Last Update Date | 11/16/2015
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Provider Practice Location Address
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Address Line | 1201 N DECATUR BLVD STE 109
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City | LAS VEGAS
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State | NV
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Zip | 89108-1222
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Country | US
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Telephone | 702-646-1150
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Fax | 702-646-1152
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Provider Business Mailing Address
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Address Line | 1201 N DECATUR BLVD STE 109
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City | LAS VEGAS
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State | NV
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Zip | 89108-1222
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Country | US
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Telephone | 702-646-1150
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Fax | 702-646-1152
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DR. NICOLE LEE HARMEL
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Credential | DC
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Telephone | 702-646-1150
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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 01597
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License Number State | NV
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