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General NPI Number Information
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NPI Number | 1013243716
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Entity Type | Organization
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Legal Business Name | HAMM CHIROPRACTIC S.C.
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Dates
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Enumeration Date | 10/30/2009
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Last Update Date | 08/20/2012
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Provider Practice Location Address
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Address Line | 971 JANESVILLE ST SUITEB
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City | OREGON
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State | WI
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Zip | 53575-3500
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Country | US
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Telephone | 608-835-2225
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Fax | 608-835-2221
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Provider Business Mailing Address
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Address Line | 971 JANESVILLE ST SUITEB
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City | OREGON
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State | WI
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Zip | 53575-3500
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Country | US
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Telephone | 608-835-2225
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Fax | 608-835-2221
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL HAMM
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Credential | D.C.
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Telephone | 608-835-2225
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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 | 4529012
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 452512
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License Number State | WI
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