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General NPI Number Information
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NPI Number | 1811843337
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Entity Type | Individual
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Provider Name | MADISON RENEE WALSH NP
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Gender | Female
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Dates
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Enumeration Date | 03/06/2026
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 3210 MERRILL DR APT 13
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City | TORRANCE
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State | CA
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Zip | 90503-7186
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Country | US
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Telephone | 951-622-0510
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Fax |
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Provider Business Mailing Address
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Address Line | 3210 MERRILL DR APT 13
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City | TORRANCE
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State | CA
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Zip | 90503-7186
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95250271
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95038831
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License Number State | CA
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