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General NPI Number Information
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NPI Number | 1306024930
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Entity Type | Individual
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Provider Name | KIMBERLY C WALKER MD
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Gender | Female
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Dates
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Enumeration Date | 02/06/2008
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Last Update Date | 03/23/2020
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Provider Practice Location Address
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Address Line | 10630 LITTLE PATUXENT PKWY STE 313
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City | COLUMBIA
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State | MD
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Zip | 21044-6216
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Country | US
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Telephone | 240-334-7650
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Fax | 866-700-7059
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Provider Business Mailing Address
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Address Line | 5325 WOODLOT RD
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City | COLUMBIA
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State | MD
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Zip | 21044-5721
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Country | US
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Telephone | 717-497-4418
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | D0073253
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | D0073253
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License Number State | MD
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