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General NPI Number Information
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NPI Number | 1053614800
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Entity Type | Individual
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Provider Name | EDWIN J WALKER RPH
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Gender | Male
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Dates
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Enumeration Date | 12/17/2010
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Last Update Date | 12/17/2010
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Provider Practice Location Address
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Address Line | CARRETERA ESTATAL 153 KM 7.2
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City | SANTA ISABEL
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State | PR
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Zip | 00757
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Country | US
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Telephone | 787-971-1011
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Fax |
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Provider Business Mailing Address
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Address Line | 1009 CALLE MONTE TORRECILLAS QUINTAS DE ALTAMIRA
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City | JUANA DIAZ
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State | PR
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Zip | 00795-9101
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Country | US
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Telephone | 787-240-0611
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2926
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License Number State | PR
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