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NPI 1134863004

NPI 1134863004 : WALKER WEBSTER DO : MEMPHIS, TN

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General NPI Number Information
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    NPI Number           |    1134863004
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    Entity Type          |    Individual 
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    Provider Name        |    WALKER WEBSTER DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/26/2022
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    Last Update Date     |    07/30/2025
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Provider Practice Location Address
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    Address Line         |    6019 WALNUT GROVE RD 
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    City                 |    MEMPHIS
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    State                |    TN
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    Zip                  |    38120-2113
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    Country              |    US
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    Telephone            |    901-226-5000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    920 MADISON AVE STE 447 
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    City                 |    MEMPHIS
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    State                |    TN
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    Zip                  |    38103-3438
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    Country              |    US
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    Telephone            |    901-448-5814
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    6019
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    License Number State |    TN
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