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General NPI Number Information
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NPI Number | 1366997736
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Entity Type | Organization
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Legal Business Name | AFRICA MEISHA WALKER, LLC
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Dates
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Enumeration Date | 08/16/2016
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 5310 OLD COURT RD STE 204
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-6201
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Country | US
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Telephone | 410-521-1133
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Fax | 410-734-2133
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Provider Business Mailing Address
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Address Line | 3018 LAKE FOREST DR
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City | UPPER MARLBORO
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State | MD
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Zip | 20774-9051
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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 | OWNER/OPERATOR
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Name | AFRICA MEISHA WALKER
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Credential | CRNP
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Telephone | 410-521-1133
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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 | R192249
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License Number State | MD
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