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General NPI Number Information
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NPI Number | 1851373823
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Entity Type | Individual
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Provider Name | BRIAN JOHN WALSH D.O.
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Gender | Male
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 150 BRANDYWINE DR
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City | DOVER
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State | DE
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Zip | 19904-2287
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Country | US
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Telephone | 302-734-0400
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Fax | 302-406-2914
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Provider Business Mailing Address
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Address Line | PO BOX 1297
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City | DOVER
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State | DE
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Zip | 19903-1297
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Country | US
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Telephone | 302-734-0400
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Fax | 302-406-2914
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | C20003705
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 20955-875
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License Number State | WI
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