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General NPI Number Information
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NPI Number | 1821364464
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Entity Type | Organization
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Legal Business Name | W G HANCOCK DC PC
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Dates
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Enumeration Date | 03/28/2012
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Last Update Date | 03/28/2012
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Provider Practice Location Address
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Address Line | 7330 E MICHIGAN AVE
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City | SALINE
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State | MI
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Zip | 48176-9197
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Country | US
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Telephone | 734-429-9459
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 305
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City | SALINE
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State | MI
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Zip | 48176-0305
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Country | US
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Telephone | 734-429-9459
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Fax | 734-429-5421
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM G HANCOCK IV
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Credential | DC
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Telephone | 734-429-9459
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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 | 2301002538
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License Number State | MI
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