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General NPI Number Information
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NPI Number | 1487667770
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Entity Type | Organization
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Legal Business Name | HO MEDICAL & CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 10/17/2012
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Provider Practice Location Address
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Address Line | 841 US HWY 25W SOUTH STE 5
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City | WILLIAMSBURG
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State | KY
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Zip | 40769
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Country | US
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Telephone | 606-549-0123
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Fax | 606-549-5995
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Provider Business Mailing Address
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Address Line | 841 US HWY 25W SOUTH STE 5
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City | WILLIAMSBURG
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State | KY
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Zip | 40769
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Country | US
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Telephone | 606-549-0123
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Fax | 606-549-5995
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Authorized Official
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Title or Position | OWNER
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Name | ANA C. MORENO
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Credential | DC
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Telephone | 606-549-0123
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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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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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