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General NPI Number Information
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NPI Number | 1164590394
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Entity Type | Organization
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Legal Business Name | STANLEY D. WALKER, MD, LLC
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 3333 N CALVERT ST STE 107
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City | BALTIMORE
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State | MD
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Zip | 21218-6503
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Country | US
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Telephone | 410-554-6653
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Fax | 410-662-9667
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Provider Business Mailing Address
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Address Line | 3333 N CALVERT ST STE 107
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City | BALTIMORE
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State | MD
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Zip | 21218-6503
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Country | US
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Telephone | 410-554-6653
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Fax | 410-662-9667
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Authorized Official
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Title or Position | OWNER
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Name | DR. STANLEY DAVID WALKER
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Credential | M.D.
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Telephone | 410-554-6653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0200X
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Taxonomy Name | Oncology Clinic/Center
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License Number | D44944
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License Number State | MD
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