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General NPI Number Information
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NPI Number | 1558403683
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Entity Type | Organization
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Legal Business Name | WILLIAM J. WALTON, M.D. P.A.
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12200 PARK CENTRAL DR STE 120
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City | DALLAS
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State | TX
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Zip | 75251-2107
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Country | US
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Telephone | 214-349-6576
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Fax |
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Provider Business Mailing Address
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Address Line | 12200 PARK CENTRAL DR STE 120
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City | DALLAS
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State | TX
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Zip | 75251-2107
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Country | US
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Telephone | 214-349-6576
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM J WALTON
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Credential | M.D.
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Telephone | 214-349-3646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F0813
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License Number State | TX
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