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General NPI Number Information
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NPI Number | 1134944291
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Entity Type | Organization
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Legal Business Name | CLEAR CHIROPRACTIC HARTFORD CITY, LLC
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Dates
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Enumeration Date | 11/22/2024
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 1501 N WALNUT ST
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City | HARTFORD CITY
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State | IN
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Zip | 47348-1343
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Country | US
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Telephone | 765-329-5044
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 N WALNUT ST
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City | HARTFORD CITY
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State | IN
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Zip | 47348-1343
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Country | US
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Telephone | 765-329-5044
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | STACY RICHARDSON
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Credential |
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Telephone | 260-726-3065
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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 |
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License Number State |
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