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General NPI Number Information
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NPI Number | 1922581438
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Entity Type | Individual
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Provider Name | ERIN ELIZABETH WALZ
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Gender | Female
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Dates
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Enumeration Date | 09/11/2018
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Last Update Date | 06/08/2020
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Provider Practice Location Address
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Address Line | 3800 RESERVOIR RD NW
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City | WASHINGTON
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State | DC
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Zip | 20007-2113
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Country | US
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Telephone | 202-444-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 1410 N SCOTT ST APT 834
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City | ARLINGTON
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State | VA
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Zip | 22209-2918
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Country | US
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Telephone | 732-266-8322
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA031518
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110006212
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C0006973
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License Number State | MD
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