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General NPI Number Information
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NPI Number | 1306065164
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Entity Type | Organization
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Legal Business Name | HAFNER CHIROPRACTIC CLINIC, P. A.
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1309 WILLIAMS ST
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City | GREAT BEND
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State | KS
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Zip | 67530-4447
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Country | US
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Telephone | 620-792-3678
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Fax |
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Provider Business Mailing Address
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Address Line | 1309 WILLIAMS ST
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City | GREAT BEND
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State | KS
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Zip | 67530-4447
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Country | US
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Telephone | 620-792-3678
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. WILLIAM GEORGE HAFNER
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Credential | D.C.
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Telephone | 620-792-3678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 01-3657
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License Number State | KS
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