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General NPI Number Information
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NPI Number | 1932233384
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Entity Type | Individual
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Provider Name | ANDREW T. WALKER M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 02/26/2014
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Provider Practice Location Address
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Address Line | 1615 NW FEDERAL HWY
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City | STUART
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State | FL
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Zip | 34994-9629
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Country | US
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Telephone | 772-878-5858
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Fax | 772-692-2480
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Provider Business Mailing Address
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Address Line | 1615 NW FEDERAL HWY
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City | STUART
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State | FL
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Zip | 34994-9629
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Country | US
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Telephone | 772-878-5858
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Fax | 772-692-2480
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0070441
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License Number State | FL
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