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General NPI Number Information
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NPI Number | 1700075488
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Entity Type | Individual
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Provider Name | ALERICE E WALKER P.A.
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Gender | Female
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Dates
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Enumeration Date | 10/18/2007
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 2101 ROSECRANS AVE # 3230
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City | EL SEGUNDO
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State | CA
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Zip | 90245-4749
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Country | US
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Telephone | 323-628-8671
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Fax |
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Provider Business Mailing Address
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Address Line | 333 S MAIN ST
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City | NEWTOWN
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State | CT
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Zip | 06470-2743
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Country | US
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Telephone | 203-426-0494
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 001804
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 008642
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA70046112
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License Number State | WA
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