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General NPI Number Information
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NPI Number | 1891073789
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Entity Type | Individual
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Provider Name | MARCIA LEE WALKER M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/27/2011
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Last Update Date | 11/18/2011
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Provider Practice Location Address
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Address Line | 1604 MERRILL DR
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City | LITTLE ROCK
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State | AR
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Zip | 72211-1818
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Country | US
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Telephone | 501-217-4995
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Fax | 501-217-9437
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Provider Business Mailing Address
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Address Line | 15119 VIMY RIDGE RD
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City | ALEXANDER
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State | AR
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Zip | 72002-1541
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202006188
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 3916
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 105909
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | AR
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