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General NPI Number Information
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NPI Number | 1134301435
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Entity Type | Organization
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Legal Business Name | HJELLE CHIROPRACTIC CLINIC, S.C.
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 12/31/2013
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Provider Practice Location Address
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Address Line | 201 E ANDERSON ST
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City | RHINELANDER
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State | WI
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Zip | 54501-3771
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Country | US
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Telephone | 715-362-6501
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Fax | 715-362-6502
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Provider Business Mailing Address
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Address Line | 201 E ANDERSON ST
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City | RHINELANDER
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State | WI
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Zip | 54501-3771
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Country | US
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Telephone | 715-362-6501
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Fax | 715-362-6502
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. ANTHONY D HJELLE
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Credential | D.C.
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Telephone | 715-362-6501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 111N00000X
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License Number State | WI
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