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General NPI Number Information
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NPI Number | 1053857045
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Entity Type | Organization
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Legal Business Name | AMY D. WALSH, M.D.
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Dates
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Enumeration Date | 01/13/2017
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Last Update Date | 01/13/2017
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Provider Practice Location Address
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Address Line | 106 MILFORD ST SUITE 306
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City | SALISBURY
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State | MD
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Zip | 21804-6953
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Country | US
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Telephone | 410-677-6500
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Fax | 410-677-6502
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Provider Business Mailing Address
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Address Line | 106 MILFORD ST SUITE 306
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City | SALISBURY
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State | MD
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Zip | 21804-6953
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Country | US
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Telephone | 410-677-6500
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Fax | 410-677-6502
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AMY D WALSH
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Credential | MD
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Telephone | 410-677-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | D46137
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License Number State | MD
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