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General NPI Number Information
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NPI Number | 1710420476
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Entity Type | Individual
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Provider Name | ANTHONY JOHN WALKO III DC, MSN, APRN,
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Gender | Male
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Dates
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Enumeration Date | 11/29/2016
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 405 KEARNY AVE
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City | KEARNY
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State | NJ
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Zip | 07032-2648
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Country | US
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Telephone | 321-339-3424
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Fax |
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Provider Business Mailing Address
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Address Line | 548 MONROE ST
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City | CARLSTADT
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State | NJ
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Zip | 07072-1544
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Country | US
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Telephone | 201-783-3126
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN11026282
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ14845900
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11026282
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH14008
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License Number State | FL
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