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General NPI Number Information
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NPI Number | 1942524301
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Entity Type | Organization
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Legal Business Name | WEST LAKE NORMAN CHIROPRACTIC & WELLNESS CENTER PLLC
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Dates
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Enumeration Date | 03/15/2010
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | 275 N. HIGHWAY 16 SUITE 102
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City | DENVER
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State | NC
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Zip | 28037
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Country | US
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Telephone | 704-489-1999
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Fax | 704-489-0500
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Provider Business Mailing Address
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Address Line | 105 OAKMONT RD
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City | STANLEY
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State | NC
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Zip | 28164
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Country | US
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Telephone | 248-321-0204
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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. DARREN STEVEN KALKAN
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Credential | DC
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Telephone | 248-321-0204
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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 | 2301008364
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License Number State | MI
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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 |
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License Number State |
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