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General NPI Number Information
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NPI Number | 1598629636
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Entity Type | Individual
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Provider Name | CARLEIGH ANNE WALTERS DC
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Gender | Female
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 411 S LOGAN BLVD STE 3
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City | ALTOONA
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State | PA
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Zip | 16602-5654
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Country | US
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Telephone | 814-296-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 6646 S CARACOL CV
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City | SALT LAKE CITY
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State | UT
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Zip | 84121-3458
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DC012089
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License Number State | PA
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