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General NPI Number Information
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NPI Number | 1700072188
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Entity Type | Organization
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Legal Business Name | HURST CHIROPRACTIC LLC
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 11/07/2007
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Provider Practice Location Address
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Address Line | 2420 N MAIN ST STE B
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City | HUTCHINSON
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State | KS
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Zip | 67502-3650
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Country | US
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Telephone | 620-662-6607
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Fax | 620-662-6850
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Provider Business Mailing Address
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Address Line | 2420 N MAIN ST STE B
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City | HUTCHINSON
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State | KS
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Zip | 67502-3650
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Country | US
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Telephone | 620-662-6607
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Fax | 620-662-6850
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL FRANK HURST
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Credential | D C
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Telephone | 620-662-6607
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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 | C3327
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License Number State | KS
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