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General NPI Number Information
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NPI Number | 1609038967
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Entity Type | Organization
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Legal Business Name | UNIIFIED CHIROPRACTIC
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Dates
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Enumeration Date | 06/27/2008
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Last Update Date | 06/27/2008
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Provider Practice Location Address
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Address Line | 3301 COORS BLVD NW SUITE D
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-1229
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Country | US
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Telephone | 505-831-1115
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Fax | 505-831-3625
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Provider Business Mailing Address
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Address Line | 3301 COORS BLVD NW SUITE D
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-1229
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Country | US
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Telephone | 505-831-1115
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Fax | 505-831-3625
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES H HIRNING
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Credential | DC
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Telephone | 505-831-1115
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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 | 1191
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License Number State | NM
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