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NPI 1215576863

NPI 1215576863 : HANNAH FIELDING : AUSTIN, TX

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General NPI Number Information
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    NPI Number           |    1215576863
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    Entity Type          |    Individual 
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    Provider Name        |    HANNAH FIELDING
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/30/2019
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    Last Update Date     |    09/21/2021
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Provider Practice Location Address
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    Address Line         |    6010 BALCONES DR STE 101 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78731-4205
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    Country              |    US
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    Telephone            |    512-465-9355
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    328 OLD 71 UNIT A 
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    City                 |    CEDAR CREEK
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    State                |    TX
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    Zip                  |    78612-4262
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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       |    14262
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    License Number State |    TX
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