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General NPI Number Information
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NPI Number | 1942441845
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Entity Type | Individual
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Provider Name | ALBERT DELOY BLANCHARD JR. D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/23/2009
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Last Update Date | 03/04/2015
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Provider Practice Location Address
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Address Line | 2870 S MARYLAND PKWY #100
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City | LAS VEGAS
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State | NV
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Zip | 89109-5031
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Country | US
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Telephone | 702-309-4878
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Fax | 702-577-3334
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Provider Business Mailing Address
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Address Line | 2851 N TENAYA WAY #103
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City | LAS VEGAS
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State | NV
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Zip | 89128-0435
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Country | US
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Telephone | 702-309-4878
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Fax | 702-309-4878
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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 | B01319
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License Number State | NV
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