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General NPI Number Information
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NPI Number | 1225057334
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Entity Type | Individual
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Provider Name | CLAYTON L WALKER MD
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 10/09/2019
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Provider Practice Location Address
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Address Line | 2132 CHAMBERLING KY
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-1339
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Country | US
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Telephone | 757-496-5778
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Fax |
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Provider Business Mailing Address
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Address Line | 2132 CHAMBERLING KY
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-1339
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Country | US
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Telephone | 757-496-5778
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD462739
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 101044440
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License Number State | VA
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