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General NPI Number Information
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NPI Number | 1356093017
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Entity Type | Individual
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Provider Name | CASEY BRANDON WALKER PMHNP
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Gender | Male
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Dates
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Enumeration Date | 01/24/2022
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 1 CHILDRENS PLZ
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City | DAYTON
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State | OH
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Zip | 45404-1815
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Country | US
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Telephone | 937-641-4040
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Fax | 937-641-3066
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Provider Business Mailing Address
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Address Line | PO BOX 188
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-0188
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Country | US
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Telephone | 740-773-4366
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Fax | 740-773-4426
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0030604
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License Number State | OH
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