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Individual
DR. ROBERT JOHN HANNIGAN
Active
Individual
DR. ROBERT JOHN HANNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
751
MA
111N00000X
Chiropractor
Primary
X3660
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060116
GHI
NY
01
—
100331
POMCO
NY
Enumeration date
03/13/2007
Last updated
07/08/2007
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