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General NPI Number Information
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NPI Number | 1700243193
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Entity Type | Individual
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Provider Name | PAMELA MARGARET WALKER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 01/15/2016
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Last Update Date | 01/15/2016
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Provider Practice Location Address
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Address Line | 12200 PRESTON RD
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City | DALLAS
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State | TX
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Zip | 75230-2223
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Country | US
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Telephone | 972-490-9764
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Fax | 972-560-3296
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Provider Business Mailing Address
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Address Line | 12200 PRESTON RD
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City | DALLAS
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State | TX
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Zip | 75230-2223
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Country | US
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Telephone | 972-490-9764
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Fax | 972-560-3296
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 2-1778
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number | 2-1778
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 2-1778
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2-1778
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2-1778
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License Number State | TX
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