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NPI 1326572116

NPI 1326572116 : CHRISTOPHER WALHEIM MD : SAN LUIS OBISPO, CA

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General NPI Number Information
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    NPI Number           |    1326572116
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER WALHEIM MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/18/2017
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    Last Update Date     |    10/23/2020
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Provider Practice Location Address
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    Address Line         |    1010 MURRAY AVE 
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    City                 |    SAN LUIS OBISPO
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    State                |    CA
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    Zip                  |    93405-1806
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    Country              |    US
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    Telephone            |    805-546-7600
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5422 VIA VIENTO 
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    City                 |    ATASCADERO
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    State                |    CA
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    Zip                  |    93422-1589
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    Country              |    US
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    Telephone            |    805-813-3943
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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        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    A169711
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    License Number State |    CA
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