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General NPI Number Information
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NPI Number | 1427824796
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Entity Type | Organization
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Legal Business Name | ERIC WALSH & ASSOCIATES, A MEDICAL CORPORATION
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Dates
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Enumeration Date | 11/28/2023
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 4199 FLAT ROCK DR STE 147
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City | RIVERSIDE
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State | CA
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Zip | 92505-7115
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Country | US
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Telephone | 951-790-6209
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Fax |
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Provider Business Mailing Address
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Address Line | 1665 SUNNY HEIGHTS LN
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City | REDLANDS
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State | CA
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Zip | 92374-1424
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Country | US
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Telephone | 909-533-7433
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | CHIN KIM
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Credential |
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Telephone | 909-533-7433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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