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General NPI Number Information
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NPI Number | 1316208820
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Entity Type | Organization
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Legal Business Name | HIXON CHIROPRACTIC INC
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Dates
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Enumeration Date | 05/31/2012
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Last Update Date | 01/09/2015
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Provider Practice Location Address
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Address Line | 2305 SPRINGHILL RD STE. 10
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City | BRYANT
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State | AR
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Zip | 72019-7552
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Country | US
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Telephone | 501-847-3373
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Fax | 501-847-3370
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Provider Business Mailing Address
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Address Line | 2305 SPRINGHILL RD STE. 6
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City | BRYANT
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State | AR
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Zip | 72019-7552
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Country | US
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Telephone | 501-847-3373
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Fax | 501-847-3370
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Authorized Official
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Title or Position | OWNER
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Name | DR. DENVER ALAN HIXON
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Credential | D.C.
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Telephone | 501-847-3373
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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 | 1536
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License Number State | AR
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