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General NPI Number Information
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NPI Number | 1134517550
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Entity Type | Individual
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Provider Name | MIRANDA L. HESSEL D.C.
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Gender | Female
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Dates
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Enumeration Date | 01/07/2015
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Last Update Date | 01/07/2015
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Provider Practice Location Address
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Address Line | 156 W CHAVANEAUX RD
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City | SAN ANTONIO
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State | TX
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Zip | 78221-3909
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Country | US
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Telephone | 970-396-8573
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Fax |
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Provider Business Mailing Address
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Address Line | 9032 DUGAS DR APT. 1532
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City | SAN ANTONIO
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State | TX
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Zip | 78251-4128
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Country | US
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Telephone |
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Fax |
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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 | 12742
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License Number State | TX
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