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General NPI Number Information
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NPI Number | 1518776772
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Entity Type | Organization
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Legal Business Name | HANKINSON CHIROPRACTIC AND WELLNESS COMPANY LLC
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 501A STANLEY K TANGER BLVD
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City | LOCUST GROVE
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State | GA
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Zip | 30248-3751
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Country | US
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Telephone | 248-520-7273
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Fax |
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Provider Business Mailing Address
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Address Line | 300 RISING STAR CHURCH RD
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City | JACKSON
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State | GA
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Zip | 30233-3966
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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 | CEO/OWNER/PHYSICIAN
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Name | BETHANY HANKINSON
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Credential | DC
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Telephone | 248-520-7273
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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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