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General NPI Number Information
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NPI Number | 1023472479
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Entity Type | Individual
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Provider Name | BRIAN JAMES WALKER MS, CCC-SLP
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Gender | Male
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Dates
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Enumeration Date | 04/12/2016
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Last Update Date | 04/12/2016
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Provider Practice Location Address
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Address Line | 40192 JULIANNE DR
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City | MURRIETA
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State | CA
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Zip | 92563-6377
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Country | US
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Telephone | 209-609-0683
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Fax |
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Provider Business Mailing Address
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Address Line | 40192 JULIANNE DR
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City | MURRIETA
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State | CA
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Zip | 92563-6377
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Country | US
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Telephone | 209-609-0683
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 18699
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License Number State | CA
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