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General NPI Number Information
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NPI Number | 1275203853
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Entity Type | Individual
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Provider Name | NICHOLAS HANNY DC
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Gender | Male
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Dates
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Enumeration Date | 09/15/2021
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 4375 BOOTH CALLOWAY RD STE 305
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-8364
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Country | US
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Telephone | 817-286-4700
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Fax | 817-725-8899
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Provider Business Mailing Address
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Address Line | PO BOX 170292
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City | ARLINGTON
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State | TX
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Zip | 76003-0292
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Country | US
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Telephone | 435-554-5875
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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 | 14875
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License Number State | TX
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