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General NPI Number Information
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NPI Number | 1275637464
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Entity Type | Organization
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Legal Business Name | HUDSON SPINAL HEALTH & WELLNESS, LLC
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 06/23/2014
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Provider Practice Location Address
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Address Line | 58 WESTERVIEW DR
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City | WESTERVILLE
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State | OH
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Zip | 43081-2682
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Country | US
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Telephone | 614-890-1400
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Fax | 614-890-2397
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Provider Business Mailing Address
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Address Line | 58 WESTERVIEW DR
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City | WESTERVILLE
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State | OH
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Zip | 43081-2682
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Country | US
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Telephone | 614-890-1400
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Fax | 614-890-2397
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Authorized Official
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Title or Position | CHIROPRACTER
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Name | MR. JEFFREY SCOTT HUDSON
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Credential | D.C.
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Telephone | 614-890-1400
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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 | 857
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License Number State | OH
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