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General NPI Number Information
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NPI Number | 1801859160
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Entity Type | Individual
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Provider Name | CHRISTY L WALTER DO
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Gender | Female
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Dates
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Enumeration Date | 04/08/2006
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 951 N WASHINGTON AVE
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City | TITUSVILLE
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State | FL
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Zip | 32796-2163
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Country | US
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Telephone | 321-268-6111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11179
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City | WESTMINSTER
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State | CA
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Zip | 92685-1179
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Country | US
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Telephone | 888-517-2788
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Fax | 562-468-0347
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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 | 20A9231
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License Number State | CA
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