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General NPI Number Information
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NPI Number | 1740684695
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Entity Type | Individual
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Provider Name | KRISTIN MIKEL WALKER LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/20/2014
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Last Update Date | 12/21/2023
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Provider Practice Location Address
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Address Line | US ARMY HEALTH CLINC STUTTGART
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City | APO
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State | AE
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Zip | 09107
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Country | US
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Telephone | 314-590-1615
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Fax |
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Provider Business Mailing Address
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Address Line | CMR 445 BOX 1235
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City | APO
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State | AE
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Zip | 09046-0013
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW019389
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 130055
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License Number State | PA
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