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General NPI Number Information
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NPI Number | 1669505608
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Entity Type | Organization
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Legal Business Name | HANNIGAN CHIROPRACTIC PC
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 04/05/2012
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Provider Practice Location Address
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Address Line | 11 MARSHALL RD SUITE 2A
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City | WAPPINGERS FALLS
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State | NY
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Zip | 12590-4132
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Country | US
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Telephone | 845-297-6688
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Fax | 845-298-7401
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Provider Business Mailing Address
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Address Line | 11 MARSHALL RD SUITE 2A
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City | WAPPINGERS FALLS
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State | NY
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Zip | 12590-4132
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Country | US
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Telephone | 845-297-6688
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Fax | 845-298-7401
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT JOHN HANNIGAN
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Credential | DC
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Telephone | 845-297-6688
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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 | X3660
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License Number State | NY
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