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General NPI Number Information
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NPI Number | 1326164716
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Entity Type | Organization
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Legal Business Name | WALTER S PISKUN MD PA
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 12/20/2007
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Provider Practice Location Address
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Address Line | 3501 S SONCY RD SUITE 126
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City | AMARILLO
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State | TX
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Zip | 79119-6407
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Country | US
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Telephone | 806-350-7813
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Fax |
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Provider Business Mailing Address
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Address Line | 3501 S SONCY RD SUITE 126
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City | AMARILLO
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State | TX
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Zip | 79119-6407
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Country | US
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Telephone | 806-350-7813
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | WALTER S PISKUN
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Credential | MD
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Telephone | 806-350-7813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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