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General NPI Number Information
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NPI Number | 1508083221
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Entity Type | Organization
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Legal Business Name | WALSH CHIROPRACTIC CENTER INC
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 04/22/2009
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Provider Practice Location Address
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Address Line | 5480 SUNOL BLVD STE 3
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City | PLEASANTON
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State | CA
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Zip | 94566-7762
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Country | US
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Telephone | 925-485-4534
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Fax | 925-846-2264
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Provider Business Mailing Address
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Address Line | 5480 SUNOL BLVD STE 3
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City | PLEASANTON
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State | CA
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Zip | 94566-7762
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Country | US
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Telephone | 925-485-4534
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Fax | 925-846-2264
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. TARA RENEE WALSH
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Credential | D.C.
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Telephone | 925-485-4534
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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 |
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License Number State |
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