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General NPI Number Information
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NPI Number | 1245243419
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Entity Type | Organization
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Legal Business Name | ANDERSON HAMO CHIROPRACTIC, PLC
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 1174 W HILL RD SUITE 2
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City | FLINT
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State | MI
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Zip | 48507-4776
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Country | US
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Telephone | 810-238-9066
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Fax | 810-238-9139
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Provider Business Mailing Address
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Address Line | 1174 W HILL RD SUITE 2
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City | FLINT
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State | MI
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Zip | 48507-4776
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Country | US
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Telephone | 810-238-9066
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Fax | 810-238-9139
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Authorized Official
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Title or Position | MEMBER
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Name | DR. TERA HAMO ANDERSON
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Credential | D.C.
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Telephone | 810-238-9066
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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 | 008894
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 008894
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 008899
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 008899
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License Number State | MI
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