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General NPI Number Information
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NPI Number | 1720244387
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Entity Type | Individual
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Provider Name | SEAN WALTON O.D.
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Gender | Male
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Dates
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Enumeration Date | 08/04/2008
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Last Update Date | 10/24/2014
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Provider Practice Location Address
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Address Line | 2393 SW COLLEGE RD PLAZA 200
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City | OCALA
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State | FL
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Zip | 34471-1661
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Country | US
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Telephone | 352-291-5098
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Fax | 352-414-5525
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Provider Business Mailing Address
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Address Line | 3001 SW 24TH AVE APT 2015
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City | OCALA
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State | FL
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Zip | 34471-7842
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Country | US
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Telephone | 850-443-0301
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC4856
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License Number State | FL
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