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General NPI Number Information
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NPI Number | 1336442151
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Entity Type | Individual
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Provider Name | ALEXANDRA GUTTMANN WALKER BSN, RN IBCLC
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Gender | Female
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Dates
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Enumeration Date | 12/16/2010
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 110 IRVING ST NW
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City | WASHINGTON
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State | DC
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Zip | 20010-3017
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Country | US
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Telephone | 202-877-5363
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Fax |
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Provider Business Mailing Address
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Address Line | 8008 WESTOVER RD
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City | BETHESDA
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State | MD
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Zip | 20814-1147
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN1038374
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | R216406
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License Number State | DC
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