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General NPI Number Information
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NPI Number | 1619173200
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Entity Type | Individual
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Provider Name | PATRICIA SUE WALKER M.D. PH.D.
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Gender | Female
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 09/18/2009
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Provider Practice Location Address
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Address Line | 5565 CARPINTERIA AVE SUITE 2
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City | CARPINTERIA
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State | CA
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Zip | 93013-1446
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Country | US
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Telephone | 805-745-1013
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Fax | 805-566-0319
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Provider Business Mailing Address
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Address Line | 5565 CARPINTERIA AVE SUITE 2
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City | CARPINTERIA
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State | CA
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Zip | 93013-1446
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Country | US
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Telephone | 805-745-1013
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Fax | 805-566-0319
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A66174
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License Number State | CA
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