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General NPI Number Information
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NPI Number | 1801160023
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Entity Type | Organization
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Legal Business Name | PTCII INC
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Dates
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Enumeration Date | 03/06/2012
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Last Update Date | 08/16/2016
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Provider Practice Location Address
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Address Line | 9075 S EASTERN AVE STE 4
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City | LAS VEGAS
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State | NV
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Zip | 89123-4858
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Country | US
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Telephone | 702-312-7920
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Fax | 702-312-9714
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Provider Business Mailing Address
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Address Line | 9075 S EASTERN AVE STE 4
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City | LAS VEGAS
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State | NV
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Zip | 89123-4858
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Country | US
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Telephone | 702-312-7920
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Fax | 702-312-9714
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. DENNIS DALE DUMLER
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Credential | DC
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Telephone | 702-312-7920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | B00678
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License Number State | NV
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