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General NPI Number Information
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NPI Number | 1538813571
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Entity Type | Individual
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Provider Name | MAKESHA WALTON
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Gender | Female
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Dates
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Enumeration Date | 02/08/2022
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Last Update Date | 02/08/2022
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Provider Practice Location Address
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Address Line | 5323 N 118TH CT
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City | MILWAUKEE
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State | WI
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Zip | 53225-3085
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Country | US
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Telephone | 414-296-5422
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Fax |
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Provider Business Mailing Address
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Address Line | 21600 OXNARD ST STE 1800
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-7807
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Country | US
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Telephone | 818-345-2345
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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