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General NPI Number Information
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NPI Number | 1578602991
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Entity Type | Individual
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Provider Name | AMY D WALSH M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 05/04/2011
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Provider Practice Location Address
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Address Line | 106 MILFORD ST SUITE 306
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City | SALISBURY
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State | MD
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Zip | 21804-6962
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Country | US
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Telephone | 410-677-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 106 MILFORD ST. SUITE 306
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City | SALISBURY
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State | MD
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Zip | 21804-6462
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Country | US
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Telephone | 410-677-6500
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Fax | 410-677-6502
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | D0046137
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D46137
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License Number State | MD
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