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General NPI Number Information
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NPI Number | 1003346800
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Entity Type | Individual
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Provider Name | HEIDI ELIZABETH WALSH FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/14/2017
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 120 DILLON DR
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City | SPARTANBURG
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State | SC
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Zip | 29307-1018
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Country | US
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Telephone | 865-560-2227
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Fax |
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Provider Business Mailing Address
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Address Line | 520 AMBLING WAY
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City | DUNCAN
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State | SC
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Zip | 29334-8968
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Country | US
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Telephone | 864-266-3553
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 21048
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License Number State | SC
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