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General NPI Number Information
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NPI Number | 1831929488
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Entity Type | Individual
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Provider Name | TAKIELA WALKER
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Gender | Female
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Dates
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Enumeration Date | 08/07/2024
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 259 BRUNSWICK DR APT C
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City | ELYRIA
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State | OH
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Zip | 44035-4645
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Country | US
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Telephone | 614-302-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 259 BRUNSWICK DR APT C
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City | ELYRIA
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State | OH
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Zip | 44035-4645
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Country | US
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Telephone | 614-302-2400
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | CHW.002446
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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