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General NPI Number Information
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NPI Number | 1043370877
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Entity Type | Individual
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Provider Name | CINDY LYNN WALTERS PH.D
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Gender | Female
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 934 E JEFFERSON ST
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-5326
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Country | US
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Telephone | 434-977-9661
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Fax |
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Provider Business Mailing Address
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Address Line | 1836 UNIVERSITY CIR
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-1854
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Country | US
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Telephone | 434-296-1798
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0810001983
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License Number State | VA
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