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NPI 1346938669

NPI 1346938669 : VICTORIA WALKER PCD : SOUTHFIELD, MI

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General NPI Number Information
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    NPI Number           |    1346938669
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    Entity Type          |    Individual 
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    Provider Name        |    VICTORIA WALKER PCD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/25/2023
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    Last Update Date     |    04/25/2023
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Provider Practice Location Address
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    Address Line         |    22901 TIMBERLINE DR 
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    City                 |    SOUTHFIELD
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    State                |    MI
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    Zip                  |    48033-3443
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    Country              |    US
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    Telephone            |    313-413-7382
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    Fax                  |    313-572-9369
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Provider Business Mailing Address
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    Address Line         |    18701 GRAND RIVER AVE STE 181 
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    City                 |    DETROIT
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    State                |    MI
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    Zip                  |    48223-2214
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    Country              |    US
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    Telephone            |    313-413-7382
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    Fax                  |    313-572-9369
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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        |    374J00000X
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    Taxonomy Name        |    Doula
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    License Number       |    
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    License Number State |    MI
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