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General NPI Number Information
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NPI Number | 1659578987
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Entity Type | Organization
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Legal Business Name | WALTON CHIROPRACTIC CLINIC PC
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 09/08/2010
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Provider Practice Location Address
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Address Line | 401 W CARLETON RD
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City | HILLSDALE
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State | MI
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Zip | 49242-1354
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Country | US
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Telephone | 517-437-0900
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Fax |
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Provider Business Mailing Address
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Address Line | 401 W CARLETON RD PO BOX 401
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City | HILLSDALE
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State | MI
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Zip | 49242-1354
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Country | US
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Telephone | 517-437-0900
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. KEVIN MICHAEL WALTON
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Credential | D.C.
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Telephone | 517-437-0900
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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 | KW007298
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License Number State | MI
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