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General NPI Number Information
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NPI Number | 1417387127
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Entity Type | Individual
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Provider Name | LINA ELIZABETH WALKER FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/15/2013
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 3250 W LOWER BUCKEYE RD
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City | PHOENIX
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State | AZ
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Zip | 85009-6729
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Country | US
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Telephone | 602-876-0322
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Fax |
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Provider Business Mailing Address
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Address Line | 4743 N 21ST AVE
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City | PHOENIX
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State | AZ
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Zip | 85015-3731
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Country | US
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Telephone | 570-269-6124
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2022002506
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26N011083600
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN603706
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License Number State | PA
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