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General NPI Number Information
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NPI Number | 1922367143
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Entity Type | Individual
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Provider Name | HEIDI SHELTON D.C.
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Gender | Female
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Dates
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Enumeration Date | 05/08/2012
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Last Update Date | 05/08/2012
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Provider Practice Location Address
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Address Line | 1215 S FORT APACHE RD SUITE 140
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City | LAS VEGAS
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State | NV
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Zip | 89117-5488
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Country | US
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Telephone | 702-362-0336
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Fax | 702-362-9680
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Provider Business Mailing Address
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Address Line | 6072 ARIPEKA ST
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City | HENDERSON
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State | NV
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Zip | 89011-5005
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Country | US
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Telephone | 702-353-9642
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Fax |
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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 | B01460
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License Number State | NV
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