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General NPI Number Information
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NPI Number | 1447598149
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Entity Type | Individual
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Provider Name | MARK BARRETT WALKER M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/30/2013
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Last Update Date | 01/30/2013
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Provider Practice Location Address
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Address Line | 1300 SW 7TH ST #105
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City | RENTON
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State | WA
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Zip | 98057-5225
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Country | US
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Telephone | 425-687-7700
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Fax | 425-687-7703
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Provider Business Mailing Address
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Address Line | 333 11TH AVE W
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City | KIRKLAND
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State | WA
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Zip | 98033-5313
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Country | US
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Telephone | 425-830-2707
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD00036470
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | M-8998
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD-26380
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | C52196
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD2012-0678
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License Number State | NM
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