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General NPI Number Information
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NPI Number | 1063654127
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Entity Type | Organization
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Legal Business Name | ABILENE CHIROPRACTIC ASSOCIATES
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Dates
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Enumeration Date | 04/03/2009
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Last Update Date | 04/03/2009
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Provider Practice Location Address
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Address Line | 35 WINDMILL CIR
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City | ABILENE
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State | TX
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Zip | 79606-5234
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Country | US
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Telephone | 325-698-4221
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Fax | 325-698-6951
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Provider Business Mailing Address
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Address Line | 35 WINDMILL CIR
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City | ABILENE
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State | TX
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Zip | 79606-5234
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Country | US
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Telephone | 325-698-4221
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Fax | 325-698-6951
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. WILLIAM COLT HAZEL
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Credential | D.C.
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Telephone | 325-698-4221
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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 | 11122
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License Number State | TX
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