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General NPI Number Information
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NPI Number | 1427318864
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Entity Type | Individual
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Provider Name | MARK C. WALKER I M.D
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Gender | Male
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Dates
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Enumeration Date | 05/19/2012
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Last Update Date | 06/21/2025
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Provider Practice Location Address
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Address Line | 234 OLEANDER AVE APT 6
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City | PALM BEACH
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State | FL
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Zip | 33480-3824
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Country | US
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Telephone | 352-497-5920
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Fax | 561-629-5240
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Provider Business Mailing Address
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Address Line | 234 OLEANDER AVE APT 6
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City | PALM BEACH
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State | FL
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Zip | 33480-3824
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Country | US
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Telephone | 352-497-5920
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Fax | 561-629-5240
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME108732
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License Number State | FL
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