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General NPI Number Information
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NPI Number | 1356506810
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Entity Type | Organization
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Legal Business Name | AFFORDABLE DENTURES - CHILLICOTHE, JOSEPH B. WALTON, DDS, INC.
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Dates
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Enumeration Date | 07/24/2008
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 51 N PLAZA BLVD
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-1761
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Country | US
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Telephone | 740-772-6858
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Fax |
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Provider Business Mailing Address
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Address Line | 51 N PLAZA BLVD
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-1761
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Country | US
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Telephone | 740-772-6858
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | JOSEPH B. WALTON
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Credential | DDS
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Telephone | 740-772-6858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30015535
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License Number State | OH
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