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General NPI Number Information
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NPI Number | 1063410470
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Entity Type | Individual
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Provider Name | ERIC G WALTER DPM
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Gender | Male
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Dates
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Enumeration Date | 07/09/2005
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Last Update Date | 10/13/2011
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Provider Practice Location Address
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Address Line | 600 E 233RD ST SUITE 3
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City | BRONX
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State | NY
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Zip | 10466-2604
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Country | US
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Telephone | 718-920-2060
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Fax | 718-920-6889
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Provider Business Mailing Address
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Address Line | 600 E 233RD ST SUITE 3
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City | BRONX
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State | NY
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Zip | 10466-2604
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Country | US
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Telephone | 718-920-2060
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Fax | 718-920-6889
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N004733
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 004733
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License Number State | NY
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