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General NPI Number Information
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NPI Number | 1982682167
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Entity Type | Individual
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Provider Name | THOMAS ROBERT WALTHER MD
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Gender | Male
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Dates
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Enumeration Date | 01/06/2006
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Last Update Date | 02/22/2012
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Provider Practice Location Address
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Address Line | 380 SUMMIT AVE
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City | STEUBENVILLE
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State | OH
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Zip | 43952-2667
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Country | US
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Telephone | 740-283-7246
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Fax | 740-283-7109
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Provider Business Mailing Address
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Address Line | 601 COLLIERS WAY
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City | WEIRTON
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State | WV
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Zip | 26062-5014
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Country | US
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Telephone | 304-797-6595
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Fax | 304-797-6052
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 35-058833
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 35058833
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License Number State | OH
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