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General NPI Number Information
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NPI Number | 1194892752
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Entity Type | Individual
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Provider Name | LAWRENCE W WALKER M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 04/27/2010
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Provider Practice Location Address
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Address Line | 4301 GARTH RD SUITE 309
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City | BAYTOWN
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State | TX
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Zip | 77521-3153
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Country | US
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Telephone | 281-420-3565
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Fax | 281-427-7808
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Provider Business Mailing Address
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Address Line | 4301 GARTH RD SUITE 309
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City | BAYTOWN
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State | TX
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Zip | 77521-3153
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Country | US
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Telephone | 281-420-3565
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Fax | 281-427-7808
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | J8820
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License Number State | TX
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