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General NPI Number Information
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NPI Number | 1932304722
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Entity Type | Organization
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Legal Business Name | HALPIN FAMILY CHIROPRACTIC AND REHAB CENTER S.C.
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 05/22/2008
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Provider Practice Location Address
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Address Line | W236 S7050 HWY 164 STE. 4
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City | BIG BEND
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State | WI
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Zip | 53103
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Country | US
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Telephone | 262-662-9820
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Fax | 262-662-9821
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Provider Business Mailing Address
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Address Line | W236 S7050 HWY 164 STE. 4
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City | BIG BEND
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State | WI
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Zip | 53103
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Country | US
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Telephone | 262-662-9820
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Fax | 262-662-9821
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Authorized Official
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Title or Position | CEO
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Name | DR. SEAN CEDRIC HALPIN
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Credential | D.C.
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Telephone | 262-662-9820
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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 | 3674-012
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License Number State | WI
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