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General NPI Number Information
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NPI Number | 1063797876
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Entity Type | Organization
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Legal Business Name | HARDIN CHIROPRACTIC, P.A.
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Dates
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Enumeration Date | 10/13/2011
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Last Update Date | 10/22/2012
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Provider Practice Location Address
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Address Line | 1505 W JEFFERSON ST SUITE 155
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City | WAXAHACHIE
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State | TX
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Zip | 75165-2277
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Country | US
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Telephone | 214-399-8579
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Fax | 214-935-1787
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Provider Business Mailing Address
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Address Line | 1505 W JEFFERSON ST SUITE 155
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City | WAXAHACHIE
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State | TX
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Zip | 75165-2277
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Country | US
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Telephone | 214-399-8579
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Fax | 214-935-1787
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Authorized Official
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Title or Position | MEMBER
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Name | DR. CLINT HARDIN
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Credential | DC
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Telephone | 214-399-8579
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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 | 11819
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License Number State | TX
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