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General NPI Number Information
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NPI Number | 1689704793
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Entity Type | Organization
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Legal Business Name | SM CHIROPRACTIC
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 947 WINCHESTER AVE
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City | ASHLAND
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State | KY
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Zip | 41101-7446
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Country | US
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Telephone | 606-326-1231
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Fax | 606-325-9830
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Provider Business Mailing Address
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Address Line | 1401 WINCHESTER AVE STE 502
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City | ASHLAND
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State | KY
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Zip | 41101-7555
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Country | US
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Telephone | 606-329-0035
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Fax | 606-329-8261
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DR. JAMES M HAMLIN
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Credential | DC
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Telephone | 606-329-0035
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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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