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General NPI Number Information
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NPI Number | 1528312386
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Entity Type | Individual
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Provider Name | MRS. DALE FRANCES WALTER
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Gender | Female
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Dates
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Enumeration Date | 11/01/2012
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Last Update Date | 11/01/2012
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Provider Practice Location Address
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Address Line | 44 SADDLEBACK RD
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City | BRADFORD
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State | VT
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Zip | 05033-9209
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Country | US
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Telephone | 802-449-1004
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Fax |
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Provider Business Mailing Address
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Address Line | 55 CONNER POND RD
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City | CENTER OSSIPEE
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State | NH
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Zip | 03814-6700
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Country | US
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Telephone | 603-539-7086
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 091.0000185
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License Number State | VT
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