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General NPI Number Information
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NPI Number | 1114105186
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Entity Type | Organization
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Legal Business Name | JOHN WALKER MD LLC
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Dates
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Enumeration Date | 02/01/2008
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Last Update Date | 08/03/2011
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Provider Practice Location Address
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Address Line | 7331 E OSBORN RD SUITE 200
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6450
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Country | US
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Telephone | 480-284-4620
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Fax | 480-284-5930
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Provider Business Mailing Address
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Address Line | 15029 N THOMPSON PEAK PKWY SUITE B111-621
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2217
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Country | US
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Telephone | 801-352-9500
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Fax | 801-352-9502
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Authorized Official
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Title or Position | OWNER
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Name | JOHN M WALKER
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Credential | MD
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Telephone | 480-280-4620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35722
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License Number State | AZ
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