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General NPI Number Information
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NPI Number | 1578023321
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Entity Type | Organization
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Legal Business Name | WALKER SURGICAL ASSISTING, INC
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Dates
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Enumeration Date | 03/20/2019
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 8722 HAMIL CT
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-7551
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Country | US
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Telephone | 404-242-8548
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Fax |
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Provider Business Mailing Address
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Address Line | 8722 HAMIL CT
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-7551
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Country | US
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Telephone | 404-242-8548
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Fax |
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Authorized Official
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Title or Position | HEALTH INFORMATION MGR
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Name | APRYL ESPINOZA-WADE
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Credential |
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Telephone | 678-964-5234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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