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General NPI Number Information
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NPI Number | 1417246372
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Entity Type | Organization
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Legal Business Name | HAMMES FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 03/31/2011
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Last Update Date | 04/13/2011
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Provider Practice Location Address
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Address Line | 1029 NORTH EDGE TRAIL
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City | VERONA
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State | WI
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Zip | 53593
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Country | US
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Telephone | 608-848-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 1029 NORTH EDGE TRAIL
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City | VERONA
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State | WI
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Zip | 53593
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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 | MANAGING MEMBER
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Name | DR. CHRISTOPHER JAMES HAMMES
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Credential | DC
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Telephone | 608-848-6900
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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 | 4194012
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License Number State | WI
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