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General NPI Number Information
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NPI Number | 1063710747
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Entity Type | Organization
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Legal Business Name | HINMAN CHIROPRACTIC CARE, PA
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Dates
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Enumeration Date | 03/04/2011
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Last Update Date | 04/11/2011
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Provider Practice Location Address
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Address Line | 3215 MARKET STREET
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City | PASCAGOULA
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State | MS
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Zip | 39567
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Country | US
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Telephone | 228-762-7541
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Fax | 228-769-9128
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Provider Business Mailing Address
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Address Line | 3215 MARKET STREET
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City | PASCAGOULA
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State | MS
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Zip | 39567
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Country | US
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Telephone | 228-762-7541
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Fax | 228-769-9128
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Authorized Official
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Title or Position | OWNER
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Name | DR. MUNSON PAUL HINMAN
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Credential | D.C.
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Telephone | 228-762-7541
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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 | 0811
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License Number State | MS
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