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General NPI Number Information
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NPI Number | 1477013076
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Entity Type | Organization
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Legal Business Name | WALTON ACCIDENT & INJURY CLINIC, LLC
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Dates
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Enumeration Date | 03/21/2019
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Last Update Date | 03/21/2019
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Provider Practice Location Address
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Address Line | 126 WARLEY ST STE B
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City | FLORENCE
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State | SC
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Zip | 29501-4443
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Country | US
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Telephone | 843-508-8181
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Fax | 803-626-1474
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Provider Business Mailing Address
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Address Line | 126 WARLEY ST STE B
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City | FLORENCE
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State | SC
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Zip | 29501-4443
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Country | US
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Telephone | 843-508-8181
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Fax | 803-626-1474
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN
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Name | NATHAN SCOTT WALTON
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Credential | DC
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Telephone | 843-501-8181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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