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General NPI Number Information
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NPI Number | 1598066078
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Entity Type | Organization
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Legal Business Name | HULSE FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 11/15/2010
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Last Update Date | 11/15/2010
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Provider Practice Location Address
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Address Line | 897 HIGHWAY 31 SW
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City | HARTSELLE
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State | AL
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Zip | 35640-2872
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Country | US
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Telephone | 256-751-0033
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Fax | 256-751-0037
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Provider Business Mailing Address
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Address Line | 897 HIGHWAY 31 SW
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City | HARTSELLE
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State | AL
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Zip | 35640-2872
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Country | US
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Telephone | 256-751-0033
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Fax | 256-751-0037
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Authorized Official
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Title or Position | OWNER
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Name | RUSSELL D HULSE
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Credential | DC
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Telephone | 256-751-0033
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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 | 1636
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License Number State | AL
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