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General NPI Number Information
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NPI Number | 1568775831
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Entity Type | Organization
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Legal Business Name | HUGH G. WALSH, M.D.INC.
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Dates
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Enumeration Date | 07/15/2010
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Last Update Date | 01/18/2017
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Provider Practice Location Address
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Address Line | 16301 S KENNEDY RD
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City | LOS GATOS
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State | CA
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Zip | 95030-7546
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Country | US
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Telephone | 408-358-3359
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Fax |
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Provider Business Mailing Address
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Address Line | 16301 S KENNEDY ROAD
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City | LOS GATOS
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State | CA
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Zip | 95030-1600
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Country | US
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Telephone | 408-358-3359
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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. HUGH GLYNN WALSH
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Credential | M.D.
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Telephone | 408-358-3359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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