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General NPI Number Information
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NPI Number | 1881348084
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Entity Type | Individual
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Provider Name | ANNIE BETTIS WALKER
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Gender | Female
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Dates
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Enumeration Date | 02/07/2022
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Last Update Date | 07/18/2022
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Provider Practice Location Address
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Address Line | 6801 AIRPORT BLVD
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City | MOBILE
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State | AL
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Zip | 36608-3785
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Country | US
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Telephone | 904-372-3943
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Fax | 904-212-1618
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Provider Business Mailing Address
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Address Line | 122 JAY CIR
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City | JACKSON
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State | AL
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Zip | 36545-2450
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-119144
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License Number State | AL
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