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General NPI Number Information
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NPI Number | 1376807040
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Entity Type | Individual
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Provider Name | MARK W. WALKER FNP-C
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Gender | Male
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Dates
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Enumeration Date | 06/27/2012
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 421 ADAMS ST
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City | NATURITA
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State | CO
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Zip | 81422-5018
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Country | US
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Telephone | 970-865-2665
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Fax | 970-865-2674
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Provider Business Mailing Address
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Address Line | PO BOX 340
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City | NATURITA
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State | CO
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Zip | 81422-0340
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Country | US
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Telephone | 970-865-2665
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Fax | 970-865-2764
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 564634
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | C-APN.0992626-C-NP
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License Number State | CO
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