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General NPI Number Information
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NPI Number | 1720123359
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Entity Type | Organization
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Legal Business Name | BRIAN P HAGGERTY DC INC
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 910 NE 2ND ST
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-2138
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Country | US
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Telephone | 954-570-7699
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Fax | 954-570-7698
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Provider Business Mailing Address
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Address Line | PO BOX 8587
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City | DEERFIELD BEACH
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State | FL
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Zip | 33443-8587
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Country | US
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Telephone | 954-570-7699
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Fax | 954-570-7698
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIAN PATRICK HAGGERTY
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Credential | DC
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Telephone | 954-570-7699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NI0900X
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Taxonomy Name | Internist Chiropractor
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License Number | CH7618
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License Number State | FL
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