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General NPI Number Information
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NPI Number | 1235203092
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Entity Type | Organization
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Legal Business Name | PAYNTON & PAYNTON CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1414 MARIA LN
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City | WALNUT CREEK
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State | CA
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Zip | 94596-5313
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Country | US
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Telephone | 925-938-7767
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Fax | 925-938-7766
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Provider Business Mailing Address
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Address Line | 1414 MARIA LN
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City | WALNUT CREEK
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State | CA
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Zip | 94596-5313
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Country | US
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Telephone | 925-938-7767
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Fax | 925-938-7766
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Authorized Official
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Title or Position | OWNER
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Name | DR. EARLE F PAYNTON III
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Credential | D.C.
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Telephone | 925-938-7767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | DC-24552
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License Number State | CA
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