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General NPI Number Information
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NPI Number | 1558442582
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Entity Type | Organization
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Legal Business Name | WELL SPRINGS CHIROPRACTIC
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3045 LAKESIDE DR
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City | RENO
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State | NV
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Zip | 89509-4502
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Country | US
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Telephone | 775-219-6708
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Fax |
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Provider Business Mailing Address
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Address Line | 3045 LAKESIDE DR
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City | RENO
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State | NV
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Zip | 89509-4502
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Country | US
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Telephone | 775-219-6708
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH BEYER
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Credential | RABBI, RN, JD
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Telephone | 775-219-6708
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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 | B01210
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License Number State | NV
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