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General NPI Number Information
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NPI Number | 1447678552
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Entity Type | Individual
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Provider Name | ALLISON EDNA WALKER M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/04/2014
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Last Update Date | 12/08/2024
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Provider Practice Location Address
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Address Line | 15 BURKE LN
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City | SYOSSET
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State | NY
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Zip | 11791-3932
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Country | US
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Telephone | 516-719-5290
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Fax |
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Provider Business Mailing Address
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Address Line | 15 BURKE LN
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City | SYOSSET
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State | NY
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Zip | 11791-3932
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Country | US
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Telephone | 516-719-5290
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 282775
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 282775
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License Number State | NY
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