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General NPI Number Information
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NPI Number | 1770713646
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Entity Type | Organization
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Legal Business Name | TRAVIS SARGENT DC PC
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Dates
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Enumeration Date | 07/24/2009
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Last Update Date | 07/24/2009
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Provider Practice Location Address
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Address Line | 321 N PECOS RD SUITE 200
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City | HENDERSON
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State | NV
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Zip | 89074-1347
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Country | US
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Telephone | 702-263-4925
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Fax |
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Provider Business Mailing Address
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Address Line | 321 N PECOS RD SUITE 200
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City | HENDERSON
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State | NV
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Zip | 89074-1347
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Country | US
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Telephone | 702-263-4925
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TRAVIS NORMAN SARGENT
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Credential | D.C.
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Telephone | 702-263-4925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | B01276
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | B01276
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License Number State | NV
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