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General NPI Number Information
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NPI Number | 1427597426
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Entity Type | Organization
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Legal Business Name | JOHN W HAWLEY DC P C
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Dates
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Enumeration Date | 02/23/2017
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 3487 W BROADWAY ST
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City | MISSOULA
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State | MT
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Zip | 59808-5674
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Country | US
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Telephone | 406-721-9080
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Fax | 406-721-9008
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Provider Business Mailing Address
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Address Line | 3487 W BROADWAY ST
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City | MISSOULA
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State | MT
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Zip | 59808-5674
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Country | US
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Telephone | 406-721-9080
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Fax | 406-721-9008
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN HAWLEY
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Credential | DC
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Telephone | 406-721-9080
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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 | 3465
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License Number State | MT
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