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General NPI Number Information
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NPI Number | 1366917304
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Entity Type | Organization
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Legal Business Name | HUGON CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 10/05/2018
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Last Update Date | 10/05/2018
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Provider Practice Location Address
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Address Line | 14780 SW OSPREY DR STE 300
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City | BEAVERTON
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State | OR
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Zip | 97007-8423
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Country | US
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Telephone | 503-590-4000
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Fax | 503-590-8195
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Provider Business Mailing Address
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Address Line | 12839 SW 133RD AVE
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City | TIGARD
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State | OR
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Zip | 97223-4747
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. CHRISTOPHER HUGON
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Credential | DC
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Telephone | 503-960-6849
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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 |
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License Number State |
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