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General NPI Number Information
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NPI Number | 1366508244
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Entity Type | Organization
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Legal Business Name | TONI GAYLE WALKER
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 11/19/2012
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Provider Practice Location Address
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Address Line | 1503 W MARTIN LUTHER KING JR BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90062-1743
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Country | US
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Telephone | 323-298-7543
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Fax | 323-298-7952
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Provider Business Mailing Address
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Address Line | PO BOX 2942
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City | INGLEWOOD
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State | CA
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Zip | 90305-0942
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Country | US
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Telephone | 323-298-7543
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Fax | 323-298-7952
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Authorized Official
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Title or Position | PHARMACIST
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Name | TONI WALKER
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Credential | RPH
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Telephone | 323-298-7543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY40552
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License Number State | CA
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