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General NPI Number Information
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NPI Number | 1215128251
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Entity Type | Individual
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Provider Name | STEFANIE S WALKER DMD
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Gender | Female
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 08/06/2007
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Provider Practice Location Address
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Address Line | 1635 URSULA ST 5TH FLOOR
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City | AURORA
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State | CO
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Zip | 80045-7402
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Country | US
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Telephone | 215-313-3990
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6508 13065 EAST 17TH AVE
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City | AURORA
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State | CO
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Zip | 80045-0508
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Country | US
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Telephone | 303-862-9932
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 9332
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License Number State | CO
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