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General NPI Number Information
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NPI Number | 1245025014
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Entity Type | Individual
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Provider Name | MCKENZIE LYNN WALKER PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/11/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 1955 CITRACADO PKWY STE 102
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City | ESCONDIDO
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State | CA
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Zip | 92029-4111
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Country | US
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Telephone | 760-631-3000
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Fax | 760-270-9534
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Provider Business Mailing Address
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Address Line | 6010 HIDDEN VALLEY RD STE 200
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City | CARLSBAD
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State | CA
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Zip | 92011-4219
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Country | US
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Telephone | 760-631-3000
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Fax | 760-270-9534
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA66398
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License Number State | CA
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