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General NPI Number Information
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NPI Number | 1407241748
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Entity Type | Organization
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Legal Business Name | BRITTANY WALKER
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Dates
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Enumeration Date | 04/03/2015
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Last Update Date | 04/03/2015
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Provider Practice Location Address
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Address Line | 850 E. HIGHWAY 22
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City | TISHOMINGO
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State | OK
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Zip | 73460
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Country | US
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Telephone | 580-371-1870
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 193
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City | TISHOMINGO
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State | OK
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Zip | 73460
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Country | US
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Telephone | 580-371-1870
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Fax |
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Authorized Official
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Title or Position | CASE MANAGER II
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Name | MISS BRITTANY MICHELLE WALKER
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Credential |
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Telephone | 580-371-1870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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