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General NPI Number Information
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NPI Number | 1538139480
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Entity Type | Individual
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Provider Name | ROBERT L WALKER OD
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Gender | Male
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 01/11/2010
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Provider Practice Location Address
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Address Line | 2319 YARDLEY RD
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City | YARDLEY
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State | PA
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Zip | 19067-3060
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Country | US
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Telephone | 215-493-2105
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Fax | 215-493-4650
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Provider Business Mailing Address
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Address Line | 2319 YARDLEY RD
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City | YARDLEY
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State | PA
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Zip | 19067-3060
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Country | US
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Telephone | 215-493-2105
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Fax | 215-493-4650
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG000145
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OA002887
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | TO000580
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License Number State | NJ
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