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General NPI Number Information
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NPI Number | 1821637869
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Entity Type | Organization
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Legal Business Name | PSYCHOPHARMACOLOGY CONSULTANT LLC
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Dates
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Enumeration Date | 12/21/2019
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 1151 GOLFERS CT SE
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City | ROCHESTER
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State | MN
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Zip | 55904-8014
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Country | US
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Telephone | 507-316-1209
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Fax | 507-262-1250
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Provider Business Mailing Address
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Address Line | 1151 GOLFERS CT SE
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City | ROCHESTER
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State | MN
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Zip | 55904-8014
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Country | US
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Telephone | 507-316-1209
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Fax | 507-262-1250
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD O. WALKER JR.
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Credential | M.D.
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Telephone | 507-316-1209
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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