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General NPI Number Information
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NPI Number | 1124368501
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Entity Type | Individual
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Provider Name | CHRISTOPHER MARK HUME DC
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Gender | Male
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Dates
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Enumeration Date | 02/22/2013
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Last Update Date | 02/22/2013
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Provider Practice Location Address
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Address Line | 185 MAIN ST
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City | EAST HAVEN
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State | CT
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Zip | 06512-3032
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Country | US
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Telephone | 203-466-1111
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Fax | 203-468-9684
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Provider Business Mailing Address
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Address Line | 185 MAIN STREET
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City | EAST HAVEN
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State | CT
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Zip | 06512
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Country | US
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Telephone | 203-466-1111
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Fax | 203-468-9684
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1909
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License Number State | CT
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