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General NPI Number Information
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NPI Number | 1942444856
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Entity Type | Organization
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Legal Business Name | SPINALAID CENTERS OF RENO
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Dates
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Enumeration Date | 04/22/2009
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Last Update Date | 04/22/2009
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Provider Practice Location Address
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Address Line | 630 SIERRA ROSE DR SUITE 2A
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City | RENO
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State | NV
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Zip | 89511-2356
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Country | US
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Telephone | 775-336-3472
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Fax | 775-284-4902
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Provider Business Mailing Address
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Address Line | 630 SIERRA ROSE DR SUITE 2A
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City | RENO
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State | NV
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Zip | 89511-2356
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Country | US
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Telephone | 775-336-3472
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Fax | 775-284-4902
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Authorized Official
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Title or Position | OWNER/PRES
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Name | DR. BRYAN C HANSEN
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Credential | DC
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Telephone | 775-336-3472
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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 |
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License Number State |
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