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General NPI Number Information
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NPI Number | 1912437559
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Entity Type | Organization
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Legal Business Name | ULTIMATE HEALTH CHIROPRACTIC LLC
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Dates
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Enumeration Date | 06/15/2017
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 53 KUINEHE PL UNIT 26
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City | MAKAWAO
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State | HI
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Zip | 96768-8285
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Country | US
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Telephone | 303-877-3657
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Fax |
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Provider Business Mailing Address
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Address Line | 53 KUINEHE PL UNIT 26
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City | MAKAWAO
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State | HI
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Zip | 96768-8285
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Country | US
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Telephone | 303-877-3657
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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. RICHARD JOSEPH WALKER JR.
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Credential | DC
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Telephone | 303-877-3657
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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 | 1366
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License Number State | HI
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