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General NPI Number Information
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NPI Number | 1538604095
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Entity Type | Organization
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Legal Business Name | SCOTT WALKER NP-C
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Dates
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Enumeration Date | 12/19/2016
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Last Update Date | 08/27/2019
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Provider Practice Location Address
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Address Line | 7401 HANCOCK CT NE STE A
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-4594
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Country | US
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Telephone | 505-322-2510
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Fax | 505-639-5497
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Provider Business Mailing Address
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Address Line | 6400 INDUSTRIAL LOOP
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City | GREENDALE
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State | WI
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Zip | 53129-2452
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SCOTT F WALKER
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Credential | DC, CNP
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Telephone | 505-322-2510
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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 |
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License Number State |
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