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General NPI Number Information
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NPI Number | 1043491822
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Entity Type | Individual
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Provider Name | CORTNIE H WALKER M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/20/2007
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Last Update Date | 12/04/2014
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Provider Practice Location Address
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Address Line | 1600 11TH ST EMERGENCY DEPT
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City | WICHITA FALLS
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State | TX
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Zip | 76301-4300
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Country | US
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Telephone | 732-742-1491
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Fax |
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Provider Business Mailing Address
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Address Line | 3002 HAMILTON BLVD
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City | WICHITA FALLS
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State | TX
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Zip | 76308-1325
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Country | US
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Telephone | 732-742-1491
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | N6783
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License Number State | TX
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