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General NPI Number Information
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NPI Number | 1770728081
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Entity Type | Organization
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Legal Business Name | HODUM CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 12/16/2008
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Last Update Date | 03/22/2013
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Provider Practice Location Address
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Address Line | 6951 VIRGINIA PKWY SUITE 320
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City | MCKINNEY
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State | TX
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Zip | 75071-5713
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Country | US
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Telephone | 214-538-3903
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Fax | 214-975-1401
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Provider Business Mailing Address
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Address Line | 11423 SNYDER DR
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City | FRISCO
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State | TX
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Zip | 75035-8886
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Country | US
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Telephone | 214-538-3903
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Fax | 214-975-1401
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID HODUM
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Credential | D.C.
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Telephone | 214-538-3903
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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 | 11037
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License Number State | TX
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