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General NPI Number Information
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NPI Number | 1396773263
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Entity Type | Individual
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Provider Name | EDWARD J WALKO DO
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Gender | Male
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 08/08/2012
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Provider Practice Location Address
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Address Line | 5665 LOWERY RD SUITE 100
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City | NORFOLK
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State | VA
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Zip | 23502-2220
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Country | US
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Telephone | 757-422-2966
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Fax | 757-422-4563
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Provider Business Mailing Address
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Address Line | 5665 LOWERY RD SUITE 100
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City | NORFOLK
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State | VA
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Zip | 23502-2220
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Country | US
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Telephone | 757-422-2966
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Fax | 757-422-4563
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 0102049902
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License Number State | VA
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