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General NPI Number Information
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NPI Number | 1750538708
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Entity Type | Organization
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Legal Business Name | HARDIN CHIROPRACTIC AZZ INC PC
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Dates
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Enumeration Date | 08/21/2008
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Last Update Date | 10/01/2008
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Provider Practice Location Address
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Address Line | 20720 EUREKA RD
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City | TAYLOR
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State | MI
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Zip | 48180-5313
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Country | US
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Telephone | 734-283-2180
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Fax |
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Provider Business Mailing Address
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Address Line | 20720 EUREKA RD
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City | TAYLOR
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State | MI
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Zip | 48180-5313
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Country | US
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Telephone | 734-283-2180
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BILL W HARDIN
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Credential | D.C.
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Telephone | 734-283-2180
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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 | BH004630
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License Number State | MI
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