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General NPI Number Information
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NPI Number | 1588530646
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Entity Type | Organization
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Legal Business Name | HOMETOWN CHIRO & WELLNESS OF COLUMBIA PLLC
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 1072 CAMPBELLSVILLE RD
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City | COLUMBIA
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State | KY
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Zip | 42728-2238
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Country | US
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Telephone | 270-250-6391
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Fax |
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Provider Business Mailing Address
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Address Line | 1072 CAMPBELLSVILLE RD
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City | COLUMBIA
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State | KY
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Zip | 42728-2238
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Country | US
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Telephone | 270-250-6391
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRANDON BENNETT
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Credential | DC
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Telephone | 270-250-6391
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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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