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General NPI Number Information
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NPI Number | 1497953418
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Entity Type | Organization
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Legal Business Name | PINNACLE CHIROPRACTIC GROUP LLC
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 2821 W HORIZON RIDGE PKWY STE 111
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City | HENDERSON
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State | NV
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Zip | 89052-4429
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Country | US
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Telephone | 702-641-3927
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Fax |
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Provider Business Mailing Address
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Address Line | 2575 W HORIZON RIDGE PKWY APT 2313
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City | HENDERSON
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State | NV
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Zip | 89052-5936
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. SCOTT SATO
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Credential | D.C.
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Telephone | 702-641-3927
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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 | B01206
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License Number State | NV
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