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NPI 1558070912

NPI 1558070912 : DEONNA WALKER MSED : HAMILTON, OH

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General NPI Number Information
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    NPI Number           |    1558070912
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    Entity Type          |    Individual 
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    Provider Name        |    DEONNA WALKER MSED
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/15/2022
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    Last Update Date     |    11/15/2022
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Provider Practice Location Address
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    Address Line         |    282 N FAIR AVE 
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    City                 |    HAMILTON
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    State                |    OH
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    Zip                  |    45011-4222
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    Country              |    US
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    Telephone            |    247-221-4760
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    282 N FAIR AVE 
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    City                 |    HAMILTON
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    State                |    OH
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    Zip                  |    45011-4222
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    Country              |    US
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    Telephone            |    247-221-4760
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    PC009006
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    License Number State |    PA
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