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General NPI Number Information
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NPI Number | 1932236858
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Entity Type | Individual
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Provider Name | STEVEN RAY WALKER JR. RPH
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Gender | Male
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3501 W EMORY RD
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City | POWELL
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State | TN
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Zip | 37849-4720
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Country | US
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Telephone | 865-938-2838
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Fax |
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Provider Business Mailing Address
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Address Line | 3501 W EMORY RD
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City | POWELL
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State | TN
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Zip | 37849-4720
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Country | US
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Telephone | 865-938-2838
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 10292
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202011466
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License Number State | VA
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