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General NPI Number Information
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NPI Number | 1891976866
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Entity Type | Individual
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Provider Name | SARAH NOEL WALSH MD
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Gender | Female
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Dates
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Enumeration Date | 11/19/2007
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 2326 MILLPARK DR
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City | MARYLAND HEIGHTS
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State | MO
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Zip | 63043-3530
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Country | US
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Telephone | 314-991-4313
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Fax | 314-991-4317
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Provider Business Mailing Address
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Address Line | 2326 MILLPARK DR
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City | MARYLAND HEIGHTS
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State | MO
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Zip | 63043-3530
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Country | US
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Telephone | 314-991-4313
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Fax | 314-991-4317
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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 | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | 2007006901
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License Number State | MO
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