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General NPI Number Information
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NPI Number | 1962535039
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Entity Type | Organization
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Legal Business Name | JAMES M EARLE
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2595 S CIMARRON RD STE 105
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City | LAS VEGAS
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State | NV
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Zip | 89117-7613
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Country | US
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Telephone | 702-228-7147
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Fax | 702-228-7672
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Provider Business Mailing Address
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Address Line | 2595 S CIMARRON RD STE 105
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City | LAS VEGAS
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State | NV
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Zip | 89117-7613
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Country | US
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Telephone | 702-228-7147
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Fax | 702-228-7672
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Authorized Official
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Title or Position | OWNER
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Name | JAMES MICHAEL EARLE
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Credential | DC
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Telephone | 702-228-7147
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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 | 1005684324
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License Number State | NV
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