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General NPI Number Information
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NPI Number | 1477956183
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Entity Type | Individual
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Provider Name | JAMES WYATT WALKER RPH
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Gender | Male
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Dates
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Enumeration Date | 10/08/2014
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Last Update Date | 11/19/2020
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Provider Practice Location Address
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Address Line | 3066 LOUISIANA HWY 78
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City | LIVONIA
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State | LA
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Zip | 70755
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Country | US
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Telephone | 225-637-2356
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Fax | 225-637-2855
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Provider Business Mailing Address
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Address Line | 5600 ISLAND RD
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City | JARREAU
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State | LA
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Zip | 70749-3307
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Country | US
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Telephone | 225-202-5699
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Fax | 225-637-2855
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 8110
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 16690
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License Number State | LA
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