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General NPI Number Information
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NPI Number | 1215498159
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Entity Type | Individual
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Provider Name | SARA JOSEPHINE WALTON N.M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 10/20/2021
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Provider Practice Location Address
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Address Line | 839 E. WINDING CREEK DR. SUITE 202
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City | EAGLE
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State | ID
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Zip | 83616
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Country | US
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Telephone | 208-370-2380
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Fax | 208-370-2381
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Provider Business Mailing Address
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Address Line | 839 E. WINDING CREEK DR. SUITE 202
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City | EAGLE
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State | ID
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Zip | 83616
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Country | US
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Telephone | 208-370-2380
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Fax | 208-370-2381
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT-6095214
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NMD-0021
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License Number State | ID
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