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General NPI Number Information
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NPI Number | 1982819082
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Entity Type | Individual
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Provider Name | LEAH WALKER L.M.F.T.
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Gender | Female
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 1620 E RIVERSIDE DR APT 1000
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City | AUSTIN
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State | TX
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Zip | 78741-1011
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Country | US
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Telephone | 803-727-3650
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Fax |
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Provider Business Mailing Address
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Address Line | 1620 E RIVERSIDE DR APT 1000
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City | AUSTIN
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State | TX
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Zip | 78741-1011
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Country | US
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Telephone | 803-727-3650
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 204049
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 3520R
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT2100
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License Number State | FL
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