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General NPI Number Information
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NPI Number | 1609934645
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Entity Type | Organization
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Legal Business Name | HASSEL FAMILY CHIROPRACTIC DCPC
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1349 NW 121ST ST STE 100
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City | CLIVE
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State | IA
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Zip | 50325-8143
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Country | US
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Telephone | 515-270-2111
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Fax | 515-270-0323
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Provider Business Mailing Address
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Address Line | 1349 NW 121ST ST STE 100
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City | CLIVE
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State | IA
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Zip | 50325-8143
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Country | US
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Telephone | 515-270-2111
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Fax | 515-270-0323
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. VINCENT E HASSEL
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Credential | DC
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Telephone | 515-270-2111
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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 | A06023
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License Number State | IA
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Legacy Identifiers
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Identifier #1
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Identifier Code | 0151290
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Identifier Type | MEDICAID
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Identifier State | IA
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Identifier Issuer |
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Identifier #2
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Identifier Code | 1154396638
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Identifier Type | OTHER
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Identifier State | IA
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Identifier Issuer | INDIVIDUAL DR. NPI#
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Proprietary Identifiers Ever Reported
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Identifier #1
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Identifier Code | 0151290
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Identifier Type | MEDICAID
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Identifier State | IA
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Identifier Issuer |
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Identifier #2
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Identifier Code | 1154396638
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Identifier Type | OTHER
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Identifier State | IA
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Identifier Issuer | INDIVIDUAL DR. NPI#
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