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General NPI Number Information
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NPI Number | 1649528266
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Entity Type | Organization
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Legal Business Name | DR. DEVIN J LUZOD INC
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Dates
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Enumeration Date | 08/29/2012
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Last Update Date | 08/28/2020
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Provider Practice Location Address
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Address Line | 1930 VILLAGE CENTER CIR STE 11
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City | LAS VEGAS
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State | NV
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Zip | 89134-6238
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Country | US
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Telephone | 702-944-4673
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Fax |
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Provider Business Mailing Address
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Address Line | 1930 VILLAGE CENTER CIR STE 11
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City | LAS VEGAS
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State | NV
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Zip | 89134-6238
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Country | US
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Telephone | 702-944-4673
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEVIN LUZOD
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Credential | DC
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Telephone | 702-566-4673
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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 | 6133627-1202
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License Number State | UT
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