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General NPI Number Information
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NPI Number | 1457620098
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Entity Type | Organization
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Legal Business Name | PAIN & INJURY CHIROPRACTIC CENTER PLLC
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Dates
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Enumeration Date | 12/28/2011
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Last Update Date | 03/25/2013
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Provider Practice Location Address
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Address Line | 2320 PASEO DEL PRADO BUILDING B SUITE 208
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City | LAS VEGAS
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State | NV
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Zip | 89102-4358
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Country | US
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Telephone | 702-982-1112
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Fax | 702-982-1591
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Provider Business Mailing Address
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Address Line | 2320 PASEO DEL PRADO BUILDING B SUITE 208
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City | LAS VEGAS
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State | NV
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Zip | 89102-4358
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Country | US
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Telephone | 702-982-1112
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Fax | 702-982-1591
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ARTHUR G ROSSI JR.
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Credential | D.C.
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Telephone | 702-982-1112
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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 | B01079
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License Number State | NV
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