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General NPI Number Information
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NPI Number | 1497124473
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Entity Type | Individual
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Provider Name | TANYA LEIGH WALKER APRN
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Gender | Female
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Dates
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Enumeration Date | 09/19/2015
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 1850 W MAIN ST
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City | CABOT
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State | AR
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Zip | 72023-2745
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Country | US
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Telephone | 501-605-0009
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Fax |
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Provider Business Mailing Address
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Address Line | 919 JACKSON 16
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City | NEWPORT
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State | AR
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Zip | 72112-9438
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Country | US
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Telephone | 870-919-3359
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Fax | 870-604-3598
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A004539
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License Number State | AR
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