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General NPI Number Information
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NPI Number | 1104051416
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Entity Type | Organization
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Legal Business Name | ROBERT A. WALKER AND ASSOC, COUNSELING AND CONSULTING CENTER INC.
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Dates
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Enumeration Date | 05/17/2009
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1087 WARWICK AVE REAR
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City | WARWICK
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State | RI
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Zip | 02888
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Country | US
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Telephone | 401-383-2200
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Fax | 401-256-5209
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Provider Business Mailing Address
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Address Line | PO BOX 8722
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City | WARWICK
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State | RI
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Zip | 02888
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Country | US
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Telephone | 401-383-2200
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Fax | 401-256-5209
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | DR. ROBERT A. WALKER
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Credential | PH.D, LMHC
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Telephone | 401-383-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MHC-00166
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License Number State | RI
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