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General NPI Number Information
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NPI Number | 1922417393
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Entity Type | Organization
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Legal Business Name | SUMMIT CHIROPRACTIC LLC
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Dates
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Enumeration Date | 08/10/2014
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Last Update Date | 12/18/2014
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Provider Practice Location Address
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Address Line | 9333 DOUBLE R BLVD STE 1600
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City | RENO
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State | NV
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Zip | 89521-4897
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Country | US
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Telephone | 775-971-8244
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Fax |
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Provider Business Mailing Address
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Address Line | 9333 DOUBLE R BLVD STE 1600
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City | RENO
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State | NV
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Zip | 89521-4897
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Country | US
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Telephone | 775-971-8244
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ADAM LEE INGLES
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Credential | D.C.
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Telephone | 775-971-8244
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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 | B01549
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License Number State | NV
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