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NPI 1700890860

NPI 1700890860 : AMY S WALKER MD : PAOLI, PA

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General NPI Number Information
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    NPI Number           |    1700890860
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    Entity Type          |    Individual 
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    Provider Name        |    AMY S WALKER MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/27/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    250 W LANCASTER AVE SUITE 120
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    City                 |    PAOLI
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    State                |    PA
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    Zip                  |    19301-1743
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    Country              |    US
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    Telephone            |    610-644-8069
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    Fax                  |    610-644-6736
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Provider Business Mailing Address
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    Address Line         |    250 W LANCASTER AVE SUITE 120
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    City                 |    PAOLI
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    State                |    PA
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    Zip                  |    19301-1743
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    Country              |    US
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    Telephone            |    610-644-8069
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    Fax                  |    610-644-6736
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    064132L
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    License Number State |    PA
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