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General NPI Number Information
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NPI Number | 1306087952
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Entity Type | Individual
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Provider Name | WILLIAM COLT HAZEL D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/11/2009
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Last Update Date | 06/09/2014
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Provider Practice Location Address
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Address Line | 903 E BROADWAY ST
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City | GAINESVILLE
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State | TX
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Zip | 76240-4235
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Country | US
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Telephone | 940-665-4121
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Fax | 940-668-0833
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Provider Business Mailing Address
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Address Line | 903 E BROADWAY ST
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City | GAINESVILLE
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State | TX
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Zip | 76240-4235
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Country | US
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Telephone | 940-736-3120
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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 | 11122
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License Number State | TX
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