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General NPI Number Information
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NPI Number | 1356551634
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Entity Type | Organization
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Legal Business Name | HAYES FAMILY CHIROPRACTIC PC
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 11400 BROADWAY
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City | CROWN POINT
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State | IN
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Zip | 46307-7106
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Country | US
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Telephone | 219-669-9110
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Fax | 727-736-3556
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Provider Business Mailing Address
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Address Line | 11400 BROADWAY
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City | CROWN POINT
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State | IN
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Zip | 46307-7106
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Country | US
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Telephone | 219-669-9110
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Fax | 727-736-3556
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Authorized Official
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Title or Position | CEO
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Name | DR. DIANE LYNN SCHOEFFEL-HAYES
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Credential | D.C., L.AC.
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Telephone | 219-699-9110
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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 | 08002096A
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License Number State | IN
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