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General NPI Number Information
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NPI Number | 1700377884
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Entity Type | Individual
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Provider Name | MR. WINTERS WALTER AKHEMIEN
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Gender | Male
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Dates
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Enumeration Date | 05/23/2018
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 2150 STOCKTON BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95817-1337
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Country | US
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Telephone | 714-624-5952
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Fax |
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Provider Business Mailing Address
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Address Line | 9400 POSEIDON ST
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City | BAKERSFIELD
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State | CA
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Zip | 93306-7836
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Country | US
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Telephone | 714-624-5952
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | CA
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