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General NPI Number Information
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NPI Number | 1609696053
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Entity Type | Organization
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Legal Business Name | HARTLEY HEALTH AND CHIROPRACTIC CLINIC LLC
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Dates
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Enumeration Date | 10/11/2024
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 3257 19TH ST NW STE 1
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City | ROCHESTER
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State | MN
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Zip | 55901-6797
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Country | US
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Telephone | 507-292-1800
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Fax | 507-292-1804
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Provider Business Mailing Address
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Address Line | 3257 19TH ST NW STE 1
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City | ROCHESTER
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State | MN
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Zip | 55901-6797
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Country | US
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Telephone | 507-292-1800
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Fax | 507-292-1804
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER J HARTLEY
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Credential | DC
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Telephone | 507-398-3467
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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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