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General NPI Number Information
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NPI Number | 1861118689
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Entity Type | Organization
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Legal Business Name | INNER HEALING CENTER
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Dates
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Enumeration Date | 10/13/2022
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Last Update Date | 10/13/2022
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Provider Practice Location Address
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Address Line | 1703 CIVIC CENTER DR STE 5
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-7273
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Country | US
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Telephone | 702-874-4448
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Fax | 702-848-2809
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Provider Business Mailing Address
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Address Line | 1703 CIVIC CENTER DR STE 5
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-7273
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Country | US
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Telephone | 702-874-4448
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Fax | 702-848-2809
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MICHELLE WYATT
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Credential |
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Telephone | 702-929-1142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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