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General NPI Number Information
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NPI Number | 1790924363
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Entity Type | Individual
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Provider Name | HOLLY N WALKER ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/05/2009
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Last Update Date | 03/04/2010
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Provider Practice Location Address
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Address Line | 210 E GRAY ST SUITE 1105
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City | LOUISVILLE
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State | KY
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Zip | 40202-3900
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Country | US
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Telephone | 502-583-1609
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Fax | 502-583-2120
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Provider Business Mailing Address
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Address Line | PO BOX 950202
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City | LOUISVILLE
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State | KY
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Zip | 40295-0202
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Country | US
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Telephone | 502-969-6552
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Fax | 502-969-3799
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 5887P
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License Number State | KY
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