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General NPI Number Information
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NPI Number | 1598117442
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Entity Type | Individual
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Provider Name | HAZEL ABERDEEN DC
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Gender | Female
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Dates
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Enumeration Date | 07/04/2016
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Last Update Date | 09/13/2016
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Provider Practice Location Address
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Address Line | 1911 MEMPHIS TENNESSEE
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City | MEMPHIS
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State | TN
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Zip | 38119
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Country | US
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Telephone | 901-921-2271
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1911
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City | SOUTHAVEN
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State | MS
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Zip | 38671-0022
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Country | US
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Telephone | 901-921-2271
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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 | 2959
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License Number State | TN
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