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General NPI Number Information
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NPI Number | 1487619748
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Entity Type | Individual
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Provider Name | WALTER LEO HAIR JR. LMSW, CSWM
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Gender | Male
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | VETERAN'S ADMINISTRATION MEDICAL CENTER 2300 RAMSEY STREET
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City | FAYETTEVILLE
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State | NC
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Zip | 28301
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Country | US
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Telephone | 910-488-2120
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Fax |
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Provider Business Mailing Address
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Address Line | 4936 CATALPA CIR
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City | HOPE MILLS
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State | NC
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Zip | 28348-8886
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Country | US
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Telephone | 910-425-9647
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6801080049
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801080049
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License Number State | MI
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