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General NPI Number Information
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NPI Number | 1518275825
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Entity Type | Organization
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Legal Business Name | PATRICK J HACKETT LLC
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Dates
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Enumeration Date | 09/21/2010
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Last Update Date | 02/11/2015
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Provider Practice Location Address
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Address Line | 2591 WHITNEY AVE
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City | HAMDEN
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State | CT
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Zip | 06518-3021
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Country | US
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Telephone | 203-230-2225
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Fax | 203-248-2340
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Provider Business Mailing Address
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Address Line | 2591 WHITNEY AVE
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City | HAMDEN
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State | CT
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Zip | 06518-3021
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Country | US
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Telephone | 203-230-2225
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Fax | 203-248-2340
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | PATRICK J HACKETT
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Credential | D.C.
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Telephone | 203-230-2225
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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 | 001302
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License Number State | CT
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