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General NPI Number Information
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NPI Number | 1881874428
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Entity Type | Individual
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Provider Name | BERNADETTE MARIE WALSH DNP, WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/12/2007
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Last Update Date | 02/09/2021
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Provider Practice Location Address
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Address Line | 21 MOHAWK AVE
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City | SPARTA
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State | NJ
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Zip | 07871-1808
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Country | US
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Telephone | 973-729-4211
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Fax |
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Provider Business Mailing Address
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Address Line | 21 MOHAWK AVE
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City | SPARTA
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State | NJ
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Zip | 07871-1808
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Country | US
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Telephone | 973-729-4211
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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 | 26NO08389000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 364SW0102X
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Taxonomy Name | Women's Health Clinical Nurse Specialist
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License Number | 26NJ00158400
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ00158400
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License Number State | NJ
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