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General NPI Number Information
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NPI Number | 1285854588
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Entity Type | Organization
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Legal Business Name | PHILIP A WALKER
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Dates
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Enumeration Date | 04/27/2007
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 1069 E MAIN ST SUITE 308
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City | STAMFORD
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State | CT
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Zip | 06902-4311
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Country | US
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Telephone | 203-588-9323
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Fax | 203-588-9325
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Provider Business Mailing Address
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Address Line | P.O. BOX 153
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City | GREENWICH
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State | CT
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Zip | 06836-0153
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Country | US
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Telephone | 203-588-9323
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Fax | 203-588-9325
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PHILIP A WALKER I
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Credential |
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Telephone | 203-588-9323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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