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General NPI Number Information
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NPI Number | 1962178541
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Entity Type | Organization
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Legal Business Name | CLINCH PERFORMANCE AND RECOVERY, LLC
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Dates
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Enumeration Date | 08/23/2021
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Last Update Date | 02/19/2023
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Provider Practice Location Address
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Address Line | 870 STENERI WAY
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City | SPARKS
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State | NV
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Zip | 89431-6362
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Country | US
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Telephone | 775-984-6605
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Fax |
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Provider Business Mailing Address
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Address Line | 1695 SUNHAVEN CT
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City | RENO
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State | NV
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Zip | 89521-4046
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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 | OWNER
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Name | JADE ELKIND
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Credential | PT, DPT
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Telephone | 775-621-6789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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