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General NPI Number Information
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NPI Number | 1952020240
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Entity Type | Organization
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Legal Business Name | PRECISION CHIROPRACTIC GROUP LLC
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Dates
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Enumeration Date | 08/22/2022
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 7541 TULE SPRINGS RD STE 130
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City | LAS VEGAS
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State | NV
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Zip | 89131-8304
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Country | US
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Telephone | 702-722-2622
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Fax | 702-722-2050
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Provider Business Mailing Address
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Address Line | 7541 TULE SPRINGS RD STE 130
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City | LAS VEGAS
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State | NV
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Zip | 89131-8304
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JAKE JACOBSON
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Credential |
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Telephone | 702-722-2622
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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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