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General NPI Number Information
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NPI Number | 1780921718
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Entity Type | Organization
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Legal Business Name | EMILY HANNERS DC LLC
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Dates
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Enumeration Date | 01/10/2013
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Last Update Date | 01/10/2013
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Provider Practice Location Address
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Address Line | 1267 CELEBRATION BLVD
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City | FLORENCE
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State | SC
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Zip | 29501-5499
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Country | US
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Telephone | 843-667-9929
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Fax |
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Provider Business Mailing Address
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Address Line | 3301 DUNSTON DR
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City | FLORENCE
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State | SC
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Zip | 29501-7393
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Country | US
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Telephone | 843-758-2008
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EMILY HANNERS
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Credential | DC
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Telephone | 843-758-2008
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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 | 3698
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License Number State | SC
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