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General NPI Number Information
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NPI Number | 1407135684
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Entity Type | Organization
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Legal Business Name | DR. VALERIE O WALKER LLC
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Dates
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Enumeration Date | 08/05/2011
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 9717 LANDMARK PARKWAY DR STE 115
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City | SAINT LOUIS
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State | MO
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Zip | 63127-1662
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Country | US
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Telephone | 314-801-8627
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Fax | 314-801-8628
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Provider Business Mailing Address
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Address Line | PO BOX 10991
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City | SAINT LOUIS
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State | MO
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Zip | 63135-0991
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Country | US
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Telephone | 314-968-0700
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Fax | 314-968-0702
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Authorized Official
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Title or Position | PRESIDENT
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Name | VALERIE O WALKER
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Credential | M.D.
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Telephone | 314-807-7959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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