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General NPI Number Information
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NPI Number | 1265797617
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Entity Type | Individual
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Provider Name | NEPHI A WALTON M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2012
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 2250 N MILLER CAMPUS DR
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City | LEHI
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State | UT
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Zip | 84048-7233
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Country | US
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Telephone | 801-662-1000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 30180
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City | SALT LAKE CITY
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State | UT
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Zip | 84130-0180
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Country | US
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Telephone |
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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 | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number | 10386880-1205
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2012018921
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number | MD462049
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License Number State | PA
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