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General NPI Number Information
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NPI Number | 1679293062
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Entity Type | Individual
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Provider Name | SAMUEL WALKER
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Gender | Male
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 5575 S SYCAMORE ST STE 108
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City | LITTLETON
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State | CO
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Zip | 80120-1141
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Country | US
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Telephone | 720-775-0151
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Fax | 303-265-9988
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Provider Business Mailing Address
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Address Line | 4638 S NORFOLK WAY
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City | AURORA
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State | CO
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Zip | 80015-1625
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Country | US
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Telephone | 214-676-9433
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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