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General NPI Number Information
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NPI Number | 1831950625
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Entity Type | Organization
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Legal Business Name | COLIN S WALTERS MD P C
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Dates
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Enumeration Date | 01/18/2024
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 4320 SEMINARY RD
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City | ALEXANDRIA
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State | VA
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Zip | 22304-1535
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Country | US
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Telephone | 703-725-0128
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Fax |
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Provider Business Mailing Address
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Address Line | 4622 FIELDSTONE LN NW
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City | WASHINGTON
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State | DC
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Zip | 20008-1001
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Country | US
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Telephone | 703-504-3314
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | COLIN S WALTERS
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Credential | MD
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Telephone | 703-725-0128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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