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General NPI Number Information
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NPI Number | 1437374402
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Entity Type | Individual
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Provider Name | REGINALD ORRIN WALKER PHARMD.
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Gender | Male
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1422 E FLORENCE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90001-1937
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Country | US
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Telephone | 323-582-6363
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Fax | 323-582-0955
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Provider Business Mailing Address
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Address Line | 11496 BRIDGEWAY DR
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City | RIVERSIDE
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State | CA
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Zip | 92505-3465
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Country | US
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Telephone | 951-688-1870
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 43539
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License Number State | CA
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