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General NPI Number Information
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NPI Number | 1518205855
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Entity Type | Organization
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Legal Business Name | WALK CHIROPRACTIC AND ACUPUNCTURE, INC.
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Dates
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Enumeration Date | 01/22/2013
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Last Update Date | 01/22/2013
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Provider Practice Location Address
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Address Line | 1501 E OAK ST SUITE 2
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City | MAHOMET
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State | IL
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Zip | 61853-3778
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Country | US
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Telephone | 217-586-2000
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Fax | 866-586-3420
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Provider Business Mailing Address
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Address Line | 1501 E OAK ST SUITE 2
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City | MAHOMET
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State | IL
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Zip | 61853-3778
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Country | US
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Telephone | 217-586-2000
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Fax | 866-586-3420
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Authorized Official
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Title or Position | PRESIDENT/OWNER/CHIROPRACTIC
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Name | DR. DANIEL L WALK
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Credential | D.C.
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Telephone | 217-460-0773
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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 | 038011214
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License Number State | IL
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