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General NPI Number Information
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NPI Number | 1356405062
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Entity Type | Individual
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Provider Name | COE ANN HARDWICK DC
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Gender | Female
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 08/09/2007
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Provider Practice Location Address
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Address Line | 109 W PIERCE
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City | KIRKSVILLE
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State | MO
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Zip | 63501
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Country | US
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Telephone | 660-665-2311
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Fax | 660-665-6611
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Provider Business Mailing Address
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Address Line | PO BOX 245 109 W PIERCE ST
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City | KIRKSVILLE
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State | MO
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Zip | 63501
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Country | US
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Telephone | 660-665-2311
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Fax | 660-665-6611
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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 | 5890
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 5890
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License Number State | MO
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