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General NPI Number Information
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NPI Number | 1386953420
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Entity Type | Individual
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Provider Name | CHRISTOPHER MICHAEL WALKER RN
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Gender | Male
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Dates
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Enumeration Date | 10/06/2010
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Last Update Date | 10/06/2010
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Provider Practice Location Address
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Address Line | 620 JOHN PAUL JONES CIR
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City | PORTSMOUTH
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State | VA
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Zip | 23708-2111
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Country | US
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Telephone | 757-953-0175
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Fax |
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Provider Business Mailing Address
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Address Line | 600 WHITESTONE AVE
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City | PORTSMOUTH
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State | VA
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Zip | 23701-1139
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Country | US
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Telephone | 757-773-5887
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Fax |
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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 | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 0001191365
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License Number State | VA
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