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General NPI Number Information
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NPI Number | 1396365193
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Entity Type | Individual
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Provider Name | JILL VANLANDGHEN D.C.
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Gender | Female
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Dates
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Enumeration Date | 04/21/2020
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Last Update Date | 04/21/2020
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Provider Practice Location Address
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Address Line | 3061 S MARYLAND PKWY
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City | LAS VEGAS
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State | NV
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Zip | 89109-2298
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Country | US
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Telephone | 702-478-9594
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Fax | 702-478-9509
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Provider Business Mailing Address
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Address Line | 9599 W CHARLESTON BLVD APT 1083
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City | LAS VEGAS
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State | NV
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Zip | 89117-6665
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Country | US
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Telephone | 920-851-1688
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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 | B01830
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License Number State | NV
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