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General NPI Number Information
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NPI Number | 1649056003
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Entity Type | Organization
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Legal Business Name | WALKER EYE CARE
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Dates
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Enumeration Date | 09/01/2023
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Last Update Date | 10/31/2023
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Provider Practice Location Address
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Address Line | 17309 I 30
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City | BENTON
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State | AR
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Zip | 72015-2927
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Country | US
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Telephone | 479-213-2609
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Fax |
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Provider Business Mailing Address
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Address Line | 2309 S SUMMIT ST
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City | LITTLE ROCK
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State | AR
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Zip | 72206-1765
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Country | US
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Telephone | 479-213-2609
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREA ROSE WALKER
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Credential | OD
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Telephone | 479-213-2609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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