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General NPI Number Information
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NPI Number | 1639842859
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Entity Type | Individual
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Provider Name | REBECCA ANNE WALTERS PHARM. D
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Gender | Female
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Dates
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Enumeration Date | 07/26/2021
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 979 US HIGHWAY 1
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-2712
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Country | US
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Telephone | 732-545-7979
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Fax |
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Provider Business Mailing Address
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Address Line | 22 FRANKLIN LN APT 128
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City | MANALAPAN
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State | NJ
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Zip | 07726
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Country | US
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Telephone | 631-946-1089
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI04237700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 067936
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License Number State | NY
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