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General NPI Number Information
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NPI Number | 1407675804
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Entity Type | Individual
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Provider Name | VIRGIL WALKER MA, LPC
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Gender | Male
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Dates
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Enumeration Date | 10/03/2024
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 1650 MARKET ST
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City | PHILADELPHIA
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State | PA
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Zip | 19103-7301
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Country | US
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Telephone | 323-205-7088
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Fax |
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Provider Business Mailing Address
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Address Line | 200 OLD MILL RD APT 209
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City | OAKDALE
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State | PA
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Zip | 15071-3867
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Country | US
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Telephone | 330-348-1055
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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