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General NPI Number Information
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NPI Number | 1073418240
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Entity Type | Organization
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Legal Business Name | WALPOLE PEDIATRIC ASSOC., PC
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 31 PINE ST STE 103
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City | NORFOLK
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State | MA
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Zip | 02056-1680
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Country | US
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Telephone | 508-668-2200
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Fax | 508-850-9727
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Provider Business Mailing Address
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Address Line | 31 PINE ST STE 103
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City | NORFOLK
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State | MA
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Zip | 02056-1680
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Country | US
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Telephone | 508-668-2200
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Fax | 508-850-9727
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | JOANNE LEVYA
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Credential |
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Telephone | 508-668-2223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State | NULL
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