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General NPI Number Information
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NPI Number | 1881808400
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Entity Type | Organization
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Legal Business Name | WALKER MEDICAL DIAGNOSTICS, LLC
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | 1450 JONES DAIRY RD STE 600
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City | JASPER
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State | AL
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Zip | 35501-6109
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Country | US
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Telephone | 205-295-4106
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Fax | 205-295-4101
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Provider Business Mailing Address
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Address Line | 1450 JONES DAIRY RD STE 600
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City | JASPER
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State | AL
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Zip | 35501-6109
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Country | US
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Telephone | 205-295-4106
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Fax | 205-295-4101
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LEE STEPHENS
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Credential |
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Telephone | 205-295-4106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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