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General NPI Number Information
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NPI Number | 1922444033
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Entity Type | Organization
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Legal Business Name | HARDY CHIROPRACTIC
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Dates
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Enumeration Date | 05/15/2013
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Last Update Date | 05/15/2013
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Provider Practice Location Address
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Address Line | 1054 E GRAND AVE SUITE C
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City | ARROYO GRANDE
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State | CA
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Zip | 93420-2564
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Country | US
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Telephone | 805-473-3800
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Fax | 805-980-7701
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Provider Business Mailing Address
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Address Line | 1054 E GRAND AVE SUITE C
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City | ARROYO GRANDE
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State | CA
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Zip | 93420-2564
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Country | US
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Telephone | 805-473-3800
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Fax | 805-980-7701
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Authorized Official
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Title or Position | OWNER
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Name | DR. PATRICIA RAE HARDY
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Credential | D.C.
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Telephone | 805-473-3800
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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 | 15579
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License Number State | CA
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