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General NPI Number Information
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NPI Number | 1730716721
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Entity Type | Individual
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Provider Name | CARRIE DIANNE WALSH MD
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Gender | Female
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Dates
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Enumeration Date | 03/27/2020
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 1611 NW 12TH AVE
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City | MIAMI
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State | FL
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Zip | 33136-1005
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Country | US
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Telephone | 305-585-6910
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Fax |
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Provider Business Mailing Address
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Address Line | 5 EMERSON PL
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City | BOSTON
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State | MA
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Zip | 02114-2240
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Country | US
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Telephone | 917-940-4031
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 1015215
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME172309
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License Number State | FL
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