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General NPI Number Information
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NPI Number | 1154642908
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Entity Type | Organization
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Legal Business Name | ROBERT B. WALTON, M.D. PA
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Dates
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Enumeration Date | 06/16/2010
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Last Update Date | 06/16/2010
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Provider Practice Location Address
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Address Line | 12 HOSPITAL CIRCLE SUITE A
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City | BATESVILLE
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State | AR
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Zip | 72501-7310
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Country | US
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Telephone | 870-793-2223
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Fax | 870-793-6513
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Provider Business Mailing Address
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Address Line | 12 HOSPITAL CIRCLE SUITE A
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City | BATESVILLE
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State | AR
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Zip | 72501-7310
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Country | US
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Telephone | 870-793-2223
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Fax | 870-793-6513
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | MR. ROBERT B WALTON
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Credential | M.D. PA
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Telephone | 870-793-2223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C-5551
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License Number State | AR
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