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General NPI Number Information
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NPI Number | 1619886322
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Entity Type | Organization
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Legal Business Name | LAURA C.WALSH
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Dates
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Enumeration Date | 09/07/2026
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Last Update Date | 09/07/2026
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Provider Practice Location Address
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Address Line | 2395 YORK RD STE 12
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City | JAMISON
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State | PA
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Zip | 18929-1071
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Country | US
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Telephone | 215-692-3838
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Fax | 267-483-8779
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Provider Business Mailing Address
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Address Line | 1917 WOODFIELD DR
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City | JAMISON
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State | PA
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Zip | 18929-1442
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Country | US
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Telephone | 215-692-3838
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Fax | 267-483-8779
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | LAURA CHRISTINE WALSH
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Credential | OD
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Telephone | 215-692-3838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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