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General NPI Number Information
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NPI Number | 1558430959
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Entity Type | Organization
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Legal Business Name | WALDO CHIROPRACTIC CENTER, INC.
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1317 TERRACE RD NW
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City | NORTH CANTON
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State | OH
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Zip | 44720-2236
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Country | US
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Telephone | 330-497-9797
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Fax | 330-497-0029
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Provider Business Mailing Address
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Address Line | 1317 TERRACE RD NW
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City | NORTH CANTON
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State | OH
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Zip | 44720-2236
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Country | US
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Telephone | 330-497-9797
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Fax | 330-497-0029
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EDWARD H. WALDO
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Credential | D.C.
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Telephone | 330-497-9797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 867
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License Number State | OH
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