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General NPI Number Information
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NPI Number | 1215052733
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Entity Type | Organization
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Legal Business Name | HANRAHAN CHIROPRACTIC CENTER PC.
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 901 MICHIGAN AVE
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City | MARYSVILLE
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State | MI
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Zip | 48040-2100
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Country | US
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Telephone | 810-364-4433
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Fax | 810-364-4453
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Provider Business Mailing Address
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Address Line | 901 MICHIGAN AVE
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City | MARYSVILLE
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State | MI
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Zip | 48040-2100
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Country | US
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Telephone | 810-364-4433
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Fax | 810-364-4453
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS M HANRAHAN
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Credential | D.C.
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Telephone | 810-364-4433
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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 | 2301005229
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License Number State | MI
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