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General NPI Number Information
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NPI Number | 1174742191
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Entity Type | Individual
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Provider Name | LESLIE Y WALKER N.P.
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Gender | Female
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 421 MONTGOMERY ST CIVIC CENTER - 9TH FLOOR
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City | SYRACUSE
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State | NY
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Zip | 13202-2923
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Country | US
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Telephone | 315-435-3653
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Fax | 315-435-2835
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Provider Business Mailing Address
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Address Line | 5051 SKYLINE DR
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City | SYRACUSE
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State | NY
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Zip | 13215-2443
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Country | US
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Telephone | 315-435-3653
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Fax | 315-435-2835
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | OF300737
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License Number State | NY
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