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General NPI Number Information
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NPI Number | 1104992502
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Entity Type | Individual
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Provider Name | KIMBERLY DELORES WALKER C.C.C.-SLP, QMRP
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Gender | Female
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 07/18/2007
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Provider Practice Location Address
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Address Line | 7714 PARKWOOD WAY
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City | SAN ANTONIO
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State | TX
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Zip | 78249
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Country | US
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Telephone | 210-845-3885
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Fax | 210-694-0590
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Provider Business Mailing Address
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Address Line | 7714 PARKWOOD WAY
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City | SAN ANTONIO
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State | TX
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Zip | 78249-4724
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Country | US
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Telephone | 210-694-2528
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Fax | 210-694-0590
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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 | 101843
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP0101600
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License Number State | CA
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