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General NPI Number Information
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NPI Number | 1669342523
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Entity Type | Individual
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Provider Name | JAMES WALTON
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Gender | Male
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 468 W 5TH ST
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City | SAN BERNARDINO
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State | CA
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Zip | 92401-1318
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Country | US
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Telephone | 909-332-7459
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Fax |
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Provider Business Mailing Address
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Address Line | 4040 PIEDMONT DR SPC 318
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City | HIGHLAND
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State | CA
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Zip | 92346-4840
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Country | US
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Telephone | 442-251-4673
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State | CA
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