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General NPI Number Information
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NPI Number | 1912139445
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Entity Type | Individual
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Provider Name | JOHN ADAM MOEHRLE D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/18/2009
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Last Update Date | 08/18/2009
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Provider Practice Location Address
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Address Line | 7291 S EASTERN AVE STE B
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City | LAS VEGAS
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State | NV
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Zip | 89119-0437
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Country | US
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Telephone | 702-896-0080
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Fax | 702-896-0058
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Provider Business Mailing Address
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Address Line | 62 REYBURN DR
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City | HENDERSON
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State | NV
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Zip | 89074-2720
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Country | US
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Telephone | 702-806-5078
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Fax | 702-896-0058
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | B00159
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License Number State | NV
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