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NPI 1114975000

NPI 1114975000 : PATRICIA WALKER NP : SHARON, MA

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General NPI Number Information
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    NPI Number           |    1114975000
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    Entity Type          |    Individual 
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    Provider Name        |    PATRICIA WALKER NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/04/2006
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    Last Update Date     |    12/05/2011
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Provider Practice Location Address
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    Address Line         |    19 HENRY ST 
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    City                 |    SHARON
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    State                |    MA
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    Zip                  |    02067-1714
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    Country              |    US
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    Telephone            |    339-364-1979
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    Fax                  |    781-250-8488
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Provider Business Mailing Address
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    Address Line         |    19 HENRY ST 
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    City                 |    SHARON
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    State                |    MA
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    Zip                  |    02067-1714
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    Country              |    US
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    Telephone            |    781-784-0141
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    Fax                  |    781-784-0141
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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        |    163WG0000X
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    Taxonomy Name        |    General Practice Registered Nurse
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    License Number       |    184424
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    163WG0600X
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    Taxonomy Name        |    Gerontology Registered Nurse
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    License Number       |    184424
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    License Number State |    MA
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Taxonomy #3
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    184424
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    License Number State |    MA
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