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General NPI Number Information
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NPI Number | 1467301838
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Entity Type | Individual
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Provider Name | WALTER STEVENSON JR.
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Gender | Male
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 215 BALTIMORE ST APT 5
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City | WATERLOO
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State | IA
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Zip | 50701-2678
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Country | US
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Telephone | 319-595-5561
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Fax |
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Provider Business Mailing Address
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Address Line | 215 BALTIMORE ST APT 5
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City | WATERLOO
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State | IA
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Zip | 50701-2678
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Country | US
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Telephone | 319-595-5561
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 709AX1997
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License Number State | IA
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