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General NPI Number Information
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NPI Number | 1134353824
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Entity Type | Individual
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Provider Name | TROY ZAKARI WALKER CADC-I, PRSS-S
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Gender | Male
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Dates
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Enumeration Date | 05/08/2009
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 700 W VAN BUREN AVE
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City | LAS VEGAS
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State | NV
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Zip | 89106-3043
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Country | US
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Telephone | 504-881-7846
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Fax |
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Provider Business Mailing Address
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Address Line | 3350 N DURANGO DR APT 1115
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City | LAS VEGAS
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State | NV
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Zip | 89129-7295
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Country | US
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Telephone | 504-881-7846
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Fax |
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | PRSS-SUP-5097
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 07795-I
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License Number State | NV
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