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General NPI Number Information
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NPI Number | 1508981887
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Entity Type | Individual
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Provider Name | LINDA LAFAYE WALKER RPH
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1901 W SCREVEN ST
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City | QUITMAN
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State | GA
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Zip | 31643-3913
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Country | US
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Telephone | 229-263-6130
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Fax |
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Provider Business Mailing Address
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Address Line | 454 LONGWOOD DR
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City | THOMASVILLE
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State | GA
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Zip | 31757-0928
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Country | US
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Telephone | 229-227-0434
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH019475
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License Number State | GA
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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 | PS31952
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202012419
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License Number State | VA
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