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General NPI Number Information
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NPI Number | 1598195349
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Entity Type | Organization
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Legal Business Name | WALTON A SMITH
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Dates
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Enumeration Date | 11/14/2013
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Last Update Date | 12/05/2013
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Provider Practice Location Address
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Address Line | 101 SLIDE HILL RD
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City | JOHNSTON
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State | SC
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Zip | 29832-1359
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Country | US
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Telephone | 803-275-2225
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Fax |
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Provider Business Mailing Address
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Address Line | 101 SLIDE HILL RD
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City | JOHNSTON
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State | SC
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Zip | 29832-1359
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Country | US
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Telephone | 803-275-2225
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. WALTON SMITH
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Credential |
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Telephone | 803-275-2225
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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 | 1334
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License Number State | SC
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