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General NPI Number Information
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NPI Number | 1851581342
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Entity Type | Individual
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Provider Name | MICHAEL J HILLENBRAND DC
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Gender | Male
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 02/04/2009
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Provider Practice Location Address
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Address Line | 1564 E LANCASTER AVE
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City | PAOLI
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State | PA
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Zip | 19301-1505
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Country | US
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Telephone | 607-342-7924
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Fax |
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Provider Business Mailing Address
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Address Line | 320 ROCHELLE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19128-3835
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Country | US
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Telephone | 607-342-7924
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | X011252-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 010018
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 000953
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 003986
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License Number State | NY
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