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General NPI Number Information
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NPI Number | 1871787051
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Entity Type | Organization
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Legal Business Name | SEAN D. HAMPTON, DC, INC
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Dates
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Enumeration Date | 08/30/2007
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Last Update Date | 08/30/2007
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Provider Practice Location Address
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Address Line | 2625 S RAINBOW BLVD SUITE C-102
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City | LAS VEGAS
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State | NV
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Zip | 89146-5198
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Country | US
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Telephone | 702-387-4577
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Fax |
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Provider Business Mailing Address
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Address Line | 2625 S RAINBOW BLVD SUITE C-102
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City | LAS VEGAS
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State | NV
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Zip | 89146-5198
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Country | US
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Telephone | 702-387-4577
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CHIROPRACTOR
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Name | DR. SEAN DARIN HAMPTON
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Credential | D.C.
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Telephone | 702-387-4577
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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 | B01003
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License Number State | NV
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