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General NPI Number Information
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NPI Number | 1033903745
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Entity Type | Individual
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Provider Name | JAILA NICOLE WALTON DC
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Gender | Female
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 27120 FULSHEAR BEND DR
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City | FULSHEAR
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State | TX
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Zip | 77441-1190
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Country | US
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Telephone | 346-998-4416
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Fax |
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Provider Business Mailing Address
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Address Line | 11107 W AIRPORT BLVD APT 2306
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City | STAFFORD
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State | TX
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Zip | 77477-3164
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Country | US
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Telephone | 424-309-3921
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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 | 16439
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License Number State | TX
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