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General NPI Number Information
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NPI Number | 1700399151
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Entity Type | Individual
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Provider Name | LENA MARIE WALKER MS CCC SLP
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Gender | Female
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Dates
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Enumeration Date | 11/08/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 2601 NW LOOP
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City | STEPHENVILLE
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State | TX
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Zip | 76401-1712
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Country | US
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Telephone | 254-968-4649
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Fax |
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Provider Business Mailing Address
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Address Line | 262 COUNTY ROAD 259
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City | DUBLIN
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State | TX
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Zip | 76446-5030
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Country | US
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Telephone | 254-485-8661
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 107684
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License Number State | TX
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