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General NPI Number Information
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NPI Number | 1972668564
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Entity Type | Organization
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Legal Business Name | ANDREW SCOTT WALKER
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 10/17/2012
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Provider Practice Location Address
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Address Line | 937 HILLTOP DR
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City | WEATHERFORD
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State | TX
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Zip | 76086-5845
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Country | US
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Telephone | 817-599-7022
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Fax | 817-599-6559
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Provider Business Mailing Address
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Address Line | 937 HILLTOP DR
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City | WEATHERFORD
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State | TX
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Zip | 76086-5845
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Country | US
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Telephone | 817-599-7022
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Fax | 817-599-6559
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Authorized Official
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Title or Position | OWNER
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Name | MR. ANDREW SCOTT WALKER
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Credential | M.D.
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Telephone | 817-599-7022
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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 | K7487
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License Number State | TX
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