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General NPI Number Information
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NPI Number | 1134284599
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Entity Type | Organization
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Legal Business Name | JOSEPH A. WALKER, DDS, PC
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 09/03/2008
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Provider Practice Location Address
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Address Line | 630 LEIGHTON AVE
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City | ANNISTON
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State | AL
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Zip | 36207-5744
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Country | US
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Telephone | 256-236-1623
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Fax | 775-855-6346
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Provider Business Mailing Address
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Address Line | 630 LEIGHTON AVE
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City | ANNISTON
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State | AL
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Zip | 36207-5744
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Country | US
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Telephone | 256-236-1623
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Fax | 775-855-6346
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH A WALKER JR.
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Credential | D.M.D.
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Telephone | 256-236-1623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 3806
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License Number State | AL
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