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General NPI Number Information
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NPI Number | 1225472921
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Entity Type | Organization
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Legal Business Name | HOLLINGER CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 04/24/2013
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Last Update Date | 04/24/2013
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Provider Practice Location Address
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Address Line | 300 S WELLS AVE SUITE 3
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City | RENO
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State | NV
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Zip | 89502-1699
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Country | US
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Telephone | 775-324-4008
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Fax | 775-324-4006
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Provider Business Mailing Address
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Address Line | 300 S WELLS AVE SUITE 3
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City | RENO
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State | NV
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Zip | 89502-1699
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Country | US
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Telephone | 775-324-4008
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Fax | 775-324-4006
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RUSSELL PAUL HOLLINGER
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Credential | D.C.
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Telephone | 775-324-4008
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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 | B766
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 1021
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License Number State | NV
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