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General NPI Number Information
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NPI Number | 1265529739
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Entity Type | Organization
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Legal Business Name | WALTER A. ALM, D.P.M., P.C.
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 01/31/2008
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Provider Practice Location Address
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Address Line | 1795 GRANDSTAND PL
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City | ELGIN
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State | IL
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Zip | 60123-4980
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Country | US
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Telephone | 847-742-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 1795 GRANDSTAND PL
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City | ELGIN
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State | IL
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Zip | 60123-4980
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Country | US
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Telephone | 847-742-0500
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WALTER A. ALM
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Credential | D.P.M.
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Telephone | 847-742-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number |
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License Number State | IL
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