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NPI 1306890058

NPI 1306890058 : GEOFFREY WALKER MD : IRVING, TX

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General NPI Number Information
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    NPI Number           |    1306890058
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    Entity Type          |    Individual 
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    Provider Name        |    GEOFFREY WALKER MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/19/2006
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    Last Update Date     |    05/06/2021
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Provider Practice Location Address
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    Address Line         |    2005 W PARK DR STE 200 
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    City                 |    IRVING
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    State                |    TX
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    Zip                  |    75061-2034
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    Country              |    US
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    Telephone            |    214-358-2300
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    Fax                  |    214-579-6984
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Provider Business Mailing Address
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    Address Line         |    PO BOX 660132 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75266-0132
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    Country              |    US
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    Telephone            |    214-358-2300
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    Fax                  |    214-366-6127
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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        |    207RN0300X
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    Taxonomy Name        |    Nephrology Physician
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    License Number       |    F5791
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    License Number State |    TX
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