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General NPI Number Information
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NPI Number | 1144949348
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Entity Type | Organization
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Legal Business Name | HOOSIER PAIN AND POSTURE LLC
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Dates
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Enumeration Date | 08/23/2022
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 1068 E STATE ROAD 68
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City | HAUBSTADT
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State | IN
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Zip | 47639-8032
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Country | US
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Telephone | 812-868-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 1068 E STATE ROAD 68
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City | HAUBSTADT
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State | IN
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Zip | 47639-8032
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Country | US
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Telephone | 812-868-7300
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRENT A KAISER
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Credential | DC
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Telephone | 908-461-0768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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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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