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NPI 1588751374

NPI 1588751374 : SHARON ANN HULBERT D.C. : FONDA, NY

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General NPI Number Information
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    NPI Number           |    1588751374
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    Entity Type          |    Individual 
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    Provider Name        |    SHARON ANN HULBERT D.C.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/05/2006
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    Last Update Date     |    07/09/2007
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Provider Practice Location Address
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    Address Line         |    2609 A STATE HIGHWAY 30A 
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    City                 |    FONDA
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    State                |    NY
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    Zip                  |    12068
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    Country              |    US
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    Telephone            |    518-853-1567
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    Fax                  |    518-853-1609
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Provider Business Mailing Address
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    Address Line         |    592 N GREEN RD 
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    City                 |    SPRAKERS
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    State                |    NY
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    Zip                  |    12166-3202
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    Country              |    US
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    Telephone            |    518-922-8624
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    Fax                  |    
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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       |    X010120
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    License Number State |    NY
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