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General NPI Number Information
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NPI Number | 1437153095
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Entity Type | Individual
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Provider Name | CHARLES J. WALKER DO
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Gender | Male
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Dates
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Enumeration Date | 06/10/2005
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Last Update Date | 09/27/2015
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Provider Practice Location Address
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Address Line | 3660 GUION RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46222-1697
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Country | US
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Telephone | 317-920-7139
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Fax | 317-920-7229
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Provider Business Mailing Address
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Address Line | 6626 E 75TH ST STE 500
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-2805
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Country | US
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Telephone | 317-621-7584
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Fax | 317-957-2705
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35362-021
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 02004140A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 02004140A
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License Number State | IN
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