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General NPI Number Information
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NPI Number | 1386028462
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Entity Type | Individual
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Provider Name | JENNIFER WALSH
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Gender | Female
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Dates
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Enumeration Date | 07/17/2015
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Last Update Date | 07/17/2015
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Provider Practice Location Address
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Address Line | 622 W 168TH ST PH 1666
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City | NEW YORK
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State | NY
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Zip | 10032-3720
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Country | US
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Telephone | 212-305-4098
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Fax |
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Provider Business Mailing Address
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Address Line | 27 SEAVIEW AVENUE NORTH CLONTARF
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City | DUBLIN
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State | DUBLIN
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Zip | 3
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Country | IE
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Telephone | 353872801725
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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 | 282NW0100X
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Taxonomy Name | Women's Hospital
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License Number | 280516
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License Number State | NY
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