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General NPI Number Information
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NPI Number | 1093938615
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Entity Type | Individual
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Provider Name | DAVID MICHAEL WALTERS MD
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Gender | Male
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 08/12/2021
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Provider Practice Location Address
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Address Line | 1809 GADSDEN HWY
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City | BIRMINGHAM
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State | AL
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Zip | 35235-3134
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Country | US
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Telephone | 205-838-3755
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Fax | 205-838-3755
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Provider Business Mailing Address
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Address Line | 1809 GADSDEN HWY
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City | BIRMINGHAM
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State | AL
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Zip | 35235-3134
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Country | US
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Telephone | 706-320-3128
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Fax | 706-320-3230
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 076531
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 28192
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License Number State | AL
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