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General NPI Number Information
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NPI Number | 1194951830
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Entity Type | Organization
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Legal Business Name | GLENN A. HADLOCK, D.C., INC.
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Dates
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Enumeration Date | 06/09/2009
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Last Update Date | 04/16/2014
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Provider Practice Location Address
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Address Line | 5664 BEE RIDGE RD SUITE 102
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City | SARASOTA
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State | FL
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Zip | 34233-1504
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Country | US
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Telephone | 941-925-1517
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Fax |
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Provider Business Mailing Address
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Address Line | 5664 BEE RIDGE RD SUITE 102
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City | SARASOTA
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State | FL
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Zip | 34233-1504
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Country | US
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Telephone | 941-925-1517
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GLENN ALLEN HADLOCK
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Credential | D.C.
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Telephone | 941-925-1517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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