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General NPI Number Information
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NPI Number | 1780246751
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Entity Type | Individual
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Provider Name | KATHRYN WALKER LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/01/2019
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Last Update Date | 08/10/2024
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Provider Practice Location Address
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Address Line | 100 SE 3RD AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33394-0002
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Country | US
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Telephone | 945-314-8338
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Fax |
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Provider Business Mailing Address
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Address Line | 6055 APPLE ROSE DR
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City | ALPHARETTA
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State | GA
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Zip | 30004-5757
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Country | US
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Telephone | 678-735-0244
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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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 |
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License Number State |
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