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General NPI Number Information
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NPI Number | 1841156510
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Entity Type | Individual
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Provider Name | SAMANTHA MICHELLE WALTON RDN
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Gender | Female
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Dates
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Enumeration Date | 12/26/2025
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 120 SOUTH RIVERSIDE PLAZA, SUITE 2190
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City | CHICAGO
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State | IL
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Zip | 60606-6995
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Country | US
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Telephone | 312-899-0040
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Fax |
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Provider Business Mailing Address
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Address Line | 2644 HARRIS AVE
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City | RICHLAND
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State | WA
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Zip | 99354-1640
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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