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General NPI Number Information
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NPI Number | 1457756975
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Entity Type | Individual
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Provider Name | SUMMER WALKER LPN
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Gender | Female
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Dates
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Enumeration Date | 10/27/2014
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Last Update Date | 10/27/2014
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Provider Practice Location Address
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Address Line | 465 W 152ND ST APT 34
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City | NEW YORK
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State | NY
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Zip | 10031-1830
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Country | US
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Telephone | 917-684-7649
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Fax | 877-894-9254
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Provider Business Mailing Address
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Address Line | 465 W 152ND ST APT 34
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City | NEW YORK
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State | NY
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Zip | 10031-1830
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Country | US
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Telephone | 917-684-7649
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Fax | 877-894-9254
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 292388-1
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License Number State | NY
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