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General NPI Number Information
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NPI Number | 1336219674
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Entity Type | Organization
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Legal Business Name | HAMRICK SPECIFIC CHIROPRACTIC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 11/16/2012
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Provider Practice Location Address
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Address Line | 3081 UNIVERSITY AVE STE B
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City | MORGANTOWN
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State | WV
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Zip | 26505-3323
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Country | US
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Telephone | 304-598-3334
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Fax | 304-225-6046
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Provider Business Mailing Address
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Address Line | 3081 UNIVERSITY AVE STE B
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City | MORGANTOWN
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State | WV
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Zip | 26505-3323
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Country | US
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Telephone | 304-598-3334
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Fax | 304-225-6046
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Authorized Official
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Title or Position | OWNER CHIROPRACTOR
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Name | MR. DONALD KEITH HAMRICK III
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Credential | DC
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Telephone | 304-598-3334
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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 | 815
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License Number State | WV
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