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General NPI Number Information
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NPI Number | 1104621648
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Entity Type | Organization
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Legal Business Name | JOHN R WALTERS MD INC
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 703 N A ST
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City | OXNARD
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State | CA
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Zip | 93030-4309
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Country | US
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Telephone | 805-485-2340
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Fax | 805-485-1429
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Provider Business Mailing Address
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Address Line | 703 N A ST
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City | OXNARD
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State | CA
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Zip | 93030-4309
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Country | US
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Telephone | 805-485-2340
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Fax | 805-485-1429
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN RAMSAY WALTERS
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Credential | MD
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Telephone | 805-485-2340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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