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General NPI Number Information
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NPI Number | 1942573571
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Entity Type | Organization
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Legal Business Name | HOLLERN CHIROPRACTIC P.S.C.
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Dates
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Enumeration Date | 02/13/2012
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Last Update Date | 02/21/2012
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Provider Practice Location Address
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Address Line | 5215 NEW CUT RD
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City | LOUISVILLE
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State | KY
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Zip | 40214-3511
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Country | US
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Telephone | 502-366-9200
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Fax | 502-366-0409
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Provider Business Mailing Address
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Address Line | 5215 NEW CUT RD
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City | LOUISVILLE
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State | KY
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Zip | 40214-3511
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Country | US
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Telephone | 502-366-9200
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Fax | 502-366-0409
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. JAMES MICHAEL HOLLERN
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Credential | D.C.
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Telephone | 502-366-9200
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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 | 4221
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License Number State | KY
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