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General NPI Number Information
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NPI Number | 1619035300
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Entity Type | Individual
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Provider Name | TODD B WALTERS DC
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Gender | Male
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 05/16/2013
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Provider Practice Location Address
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Address Line | 1619 VICTOR RD NW
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City | LANCASTER
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State | OH
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Zip | 43130
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Country | US
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Telephone | 740-653-5390
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Fax | 740-653-2808
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Provider Business Mailing Address
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Address Line | 1619 VICTOR RD NW
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City | LANCASTER
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State | OH
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Zip | 43130-7883
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Country | US
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Telephone | 740-653-5390
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Fax | 740-653-2808
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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 | 1714
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 08001286
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4112
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License Number State | KY
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