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General NPI Number Information
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NPI Number | 1528410297
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Entity Type | Individual
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Provider Name | ANDREA CHEREE WALKER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/06/2016
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Last Update Date | 07/06/2016
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Provider Practice Location Address
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Address Line | 1541 RIVERSIDE DRIVE
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City | TULSA
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State | OK
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Zip | 74119
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Country | US
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Telephone | 918-497-9988
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Fax |
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Provider Business Mailing Address
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Address Line | 1541 RIVERSIDE DR
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City | TULSA
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State | OK
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Zip | 74119-3815
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Country | US
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Telephone | 918-497-9988
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 124
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 124
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License Number State | OK
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