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General NPI Number Information
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NPI Number | 1770537045
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Entity Type | Individual
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Provider Name | CASEY H WALKER D.C.
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 11/03/2021
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Provider Practice Location Address
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Address Line | 2072 E COMMERCIAL AVE STE B
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City | LOWELL
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State | IN
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Zip | 46356
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Country | US
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Telephone | 219-696-8916
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Fax | 219-696-6880
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Provider Business Mailing Address
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Address Line | 767 COACH LIGHT LN
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City | LOWELL
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State | IN
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Zip | 46356-7905
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Country | US
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Telephone | 801-494-9769
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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 | 59561091202
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License Number State | UT
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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 | 08002528A
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License Number State | IN
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