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General NPI Number Information
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NPI Number | 1043676257
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Entity Type | Organization
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Legal Business Name | HOCHHALTER CHIROPRACTIC, PC
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Dates
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Enumeration Date | 01/05/2016
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Last Update Date | 01/05/2016
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Provider Practice Location Address
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Address Line | 118 2ND STREET NW
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City | JAMESTOWN
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State | ND
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Zip | 58401-3117
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Country | US
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Telephone | 701-952-2225
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Fax |
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Provider Business Mailing Address
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Address Line | 118 2ND ST NW
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City | JAMESTOWN
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State | ND
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Zip | 58401-3117
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Country | US
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Telephone | 701-952-2225
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BLAKE KERRY HOCHHALTER
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Credential | D.C.
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Telephone | 701-952-2225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 1020
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License Number State | ND
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