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General NPI Number Information
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NPI Number | 1376774083
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Entity Type | Organization
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Legal Business Name | DAN HIRSSIG INC
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Dates
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Enumeration Date | 07/29/2009
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Last Update Date | 07/29/2009
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Provider Practice Location Address
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Address Line | 6404 MANATEE AVE W SUITE D
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City | BRADENTON
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State | FL
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Zip | 34209-2379
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Country | US
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Telephone | 941-794-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 129 39TH ST E
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City | BRADENTON
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State | FL
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Zip | 34208-5460
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Country | US
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Telephone | 941-744-5744
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Fax |
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Authorized Official
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Title or Position | PST
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Name | DANIEL J HIRSSIG
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Credential | DC
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Telephone | 941-744-5744
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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 | CH9652
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License Number State | FL
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