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NPI 1104005677

NPI 1104005677 : SONYA WALKER M.D. : HUNTSVILLE, AL

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General NPI Number Information
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    NPI Number           |    1104005677
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    Entity Type          |    Individual 
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    Provider Name        |    SONYA WALKER M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/31/2007
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    Last Update Date     |    06/17/2015
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Provider Practice Location Address
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    Address Line         |    910 ADAMS ST SE STE 220
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    City                 |    HUNTSVILLE
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    State                |    AL
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    Zip                  |    35801-3730
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    Country              |    US
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    Telephone            |    256-265-1800
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    Fax                  |    256-265-1801
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Provider Business Mailing Address
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    Address Line         |    910 ADAMS ST SE STE 220
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    City                 |    HUNTSVILLE
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    State                |    AL
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    Zip                  |    35801-3730
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    Country              |    US
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    Telephone            |    256-265-1800
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    Fax                  |    256-265-1801
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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        |    2086S0120X
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    Taxonomy Name        |    Pediatric Surgery Physician
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    License Number       |    30485
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    License Number State |    AL
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