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General NPI Number Information
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NPI Number | 1275724437
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Entity Type | Organization
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Legal Business Name | DR. MAUREEN T. HANNIGAN, DC
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 08/05/2007
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Provider Practice Location Address
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Address Line | 601 DUPONT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19128-2615
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Country | US
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Telephone | 215-483-6948
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Fax | 215-483-3839
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Provider Business Mailing Address
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Address Line | 601 DUPONT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19128-2615
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Country | US
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Telephone | 215-483-6948
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Fax | 215-483-3839
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Authorized Official
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Title or Position | OWNER
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Name | DR. MAUREEN HANNIGAN
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Credential | DC
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Telephone | 215-483-6948
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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 | DC-003526-L
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License Number State | PA
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