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General NPI Number Information
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NPI Number | 1396885612
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Entity Type | Individual
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Provider Name | ANGELA MARIE HUMMEL D.C.
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Gender | Female
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 10/06/2009
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Provider Practice Location Address
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Address Line | 2072 EAST COMMERICAL AVE, ROUTE 2 STE B
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City | LOWELL
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State | IN
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Zip | 46356-8091
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Country | US
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Telephone | 219-696-8916
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Fax | 219-696-6880
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Provider Business Mailing Address
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Address Line | 2072 EAST COMMERICAL AVE, ROUTE 2 STE B
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City | LOWELL
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State | IN
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Zip | 46356-8091
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Country | US
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Telephone | 219-696-8916
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Fax | 219-696-6880
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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 | 08002274A
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License Number State | IN
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