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General NPI Number Information
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NPI Number | 1841385945
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Entity Type | Organization
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Legal Business Name | HOVI CLINIC OF CHIROPRACTIC, PC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 09/28/2011
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Provider Practice Location Address
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Address Line | 1400 N SEMINARY AVE STE K
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City | WOODSTOCK
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State | IL
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Zip | 60098-2980
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Country | US
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Telephone | 815-338-9150
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Fax | 815-337-0279
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Provider Business Mailing Address
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Address Line | 1400 N SEMINARY AVE SUITE K
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City | WOODSTOCK
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State | IL
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Zip | 60098-2980
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Country | US
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Telephone | 815-338-9150
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Fax | 815-337-0279
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LUCINDA JEAN HOVI
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Credential | DC
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Telephone | 815-338-9150
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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 | 038004872
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License Number State | IL
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