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General NPI Number Information
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NPI Number | 1801050414
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Entity Type | Individual
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Provider Name | DELINA KATHERINE WALKER LSA
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Gender | Female
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Dates
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Enumeration Date | 07/12/2008
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Last Update Date | 11/13/2018
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Provider Practice Location Address
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Address Line | 186 BIG OAK DR
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City | ADKINS
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State | TX
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Zip | 78101-2753
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Country | US
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Telephone | 830-217-5016
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1198
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City | LA VERNIA
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State | TX
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Zip | 78121-1198
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Country | US
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Telephone | 210-264-1728
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | SA00578
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License Number State | TX
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