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NPI 1992780027

NPI 1992780027 : GARLAND LEE HUNTER DOCTOR OF CHIROPRACT : LAONA, WI

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General NPI Number Information
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    NPI Number           |    1992780027
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    Entity Type          |    Individual 
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    Provider Name        |    GARLAND LEE HUNTER DOCTOR OF CHIROPRACT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/13/2005
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    4925 HWY 8 & 32 
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    City                 |    LAONA
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    State                |    WI
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    Zip                  |    54541
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    Country              |    US
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    Telephone            |    715-674-5334
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 224 
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    City                 |    LAONA
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    State                |    WI
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    Zip                  |    54541
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    Country              |    US
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    Telephone            |    715-674-5334
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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       |    2781
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    License Number State |    WI
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