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General NPI Number Information
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NPI Number | 1205060217
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Entity Type | Individual
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Provider Name | STEPHEN GERARD WALSH M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/05/2009
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 26489 CATTAIL LN
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City | MILLSBORO
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State | DE
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Zip | 19966-6737
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Country | US
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Telephone | 610-909-3254
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Fax |
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Provider Business Mailing Address
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Address Line | 921 CHERRY TREE RD
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City | UPPER CHICHESTER
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State | PA
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Zip | 19014-1571
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Country | US
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Telephone | 610-909-3254
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Fax |
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | C1-0009553
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C1-0009553
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License Number State | DE
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