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General NPI Number Information
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NPI Number | 1457675589
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Entity Type | Individual
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Provider Name | RYAN D WALKER M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/18/2010
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 1940 ROUTE 70 E STE 1
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2141
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Country | US
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Telephone | 609-696-5929
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Fax | 609-696-5619
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Provider Business Mailing Address
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Address Line | 1940 ROUTE 70 E STE 1
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2141
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Country | US
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Telephone | 609-696-5929
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Fax | 609-696-5619
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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 | 207YP0228X
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Taxonomy Name | Pediatric Otolaryngology Physician
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License Number | 25MA09871200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number | 25MA09871200
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License Number State | NJ
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