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General NPI Number Information
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NPI Number | 1578038386
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Entity Type | Individual
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Provider Name | CAREY MADISON WALTER DNP, CRNA
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Gender | Female
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Dates
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Enumeration Date | 10/08/2018
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 7565 DANNAHER DR
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City | POWELL
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State | TN
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Zip | 37849-4029
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Country | US
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Telephone | 865-859-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 462 AXUM RD
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City | WILLOW SPRING
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State | NC
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Zip | 27592-9172
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Country | US
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Telephone | 336-339-3008
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 246655
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 32119
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License Number State | TN
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