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General NPI Number Information
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NPI Number | 1285364265
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Entity Type | Individual
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Provider Name | GRANT ROSS WALKER DO
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Gender | Male
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Dates
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Enumeration Date | 06/13/2022
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 1718 E KESSLER BLVD
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City | LONGVIEW
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State | WA
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Zip | 98632-1842
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Country | US
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Telephone | 360-747-5800
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Fax | 360-575-3846
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Provider Business Mailing Address
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Address Line | 1010 N KANSAS ST # KS
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City | WICHITA
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State | KS
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Zip | 67214-3124
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Country | US
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Telephone | 316-293-2665
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 94-10996
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OP70005432
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License Number State | WA
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