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General NPI Number Information
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NPI Number | 1972156974
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Entity Type | Individual
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Provider Name | MEAGHAN DIANE WALKER BCBA
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Gender | Female
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Dates
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Enumeration Date | 07/18/2019
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Last Update Date | 05/03/2023
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Provider Practice Location Address
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Address Line | 7423 LEE DAVIS RD
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-4405
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Country | US
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Telephone | 302-334-8264
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Fax |
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Provider Business Mailing Address
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Address Line | 7160 OLIVET CHURCH RD
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City | NEW KENT
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State | VA
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Zip | 23124-2414
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Country | US
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Telephone | 757-376-7205
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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