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General NPI Number Information
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NPI Number | 1003393372
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Entity Type | Organization
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Legal Business Name | COREY G. HAHN, D.C. LLC
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Dates
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Enumeration Date | 07/19/2018
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 141 CHESTERFIELD BUSINESS PKWY
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City | CHESTERFIELD
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State | MO
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Zip | 63005-1233
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Country | US
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Telephone | 636-778-2574
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Fax | 636-778-2573
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Provider Business Mailing Address
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Address Line | 141 CHESTERFIELD BUSINESS PKWY
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City | CHESTERFIELD
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State | MO
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Zip | 63005-1233
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Country | US
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Telephone | 636-778-2574
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Fax | 636-778-2573
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. COREY G HAHN
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Credential | DC
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Telephone | 636-778-2574
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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 | 2014032317
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License Number State | MO
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