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General NPI Number Information
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NPI Number | 1538594346
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Entity Type | Individual
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Provider Name | WALTER CULTON HULON M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/11/2013
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Last Update Date | 09/11/2013
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Provider Practice Location Address
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Address Line | 2736 GRANDIN RD
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City | CINCINNATI
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State | OH
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Zip | 45208-3415
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Country | US
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Telephone | 513-659-2725
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Fax | 513-871-8010
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Provider Business Mailing Address
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Address Line | 2736 GRANDIN RD
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City | CINCINNATI
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State | OH
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Zip | 45208-3415
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Country | US
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Telephone | 513-659-2725
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Fax | 513-871-8010
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 35-060034
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License Number State | OH
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