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General NPI Number Information
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NPI Number | 1992950067
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Entity Type | Organization
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Legal Business Name | J WALKER CHIROPRACTIC
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Dates
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Enumeration Date | 11/17/2008
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Last Update Date | 07/12/2011
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Provider Practice Location Address
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Address Line | 1012 S COAST HWY SUITE G
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City | OCEANSIDE
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State | CA
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Zip | 92054-5058
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Country | US
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Telephone | 760-967-7444
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Fax | 760-967-7445
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Provider Business Mailing Address
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Address Line | 1012 S COAST HWY SUITE G
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City | OCEANSIDE
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State | CA
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Zip | 92054-5058
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Country | US
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Telephone | 760-967-7444
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Fax | 760-967-7445
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Authorized Official
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Title or Position | CHIROPRACTOR/PART OWNER
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Name | DR. JESSICA AMBER WALKER
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Credential | DC
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Telephone | 760-967-7444
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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 | DC 30518
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License Number State | CA
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