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General NPI Number Information
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NPI Number | 1568507341
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Entity Type | Individual
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Provider Name | CHARLES BORG HAFELE D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 04/24/2015
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Provider Practice Location Address
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Address Line | 6527 HAMILTON AVE
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City | CINCINNATI
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State | OH
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Zip | 75224
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Country | US
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Telephone | 513-931-7325
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Fax | 513-931-7324
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Provider Business Mailing Address
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Address Line | 6527 HAMILTON AVE
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City | CINCINNATI
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State | OH
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Zip | 45224-1029
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Country | US
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Telephone | 513-931-7325
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Fax | 513-672-0781
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | OHIO1564
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0006186
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License Number State | FL
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