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General NPI Number Information
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NPI Number | 1639586837
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Entity Type | Individual
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Provider Name | JAMIE THERESE WALKER PSY.D
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Gender | Female
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Dates
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Enumeration Date | 07/20/2014
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Last Update Date | 03/24/2021
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Provider Practice Location Address
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Address Line | 607 MARKET ST STE A
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City | KIRKLAND
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State | WA
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Zip | 98033-5404
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Country | US
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Telephone | 425-403-6463
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Fax |
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Provider Business Mailing Address
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Address Line | 361 COBALT BAY LOOP APT 104
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City | MEMPHIS
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State | TN
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Zip | 38103-1631
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Country | US
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Telephone | 425-283-2674
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY60414222
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | RYT 117032
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY6041422
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License Number State | WA
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