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General NPI Number Information
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NPI Number | 1093889495
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Entity Type | Individual
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Provider Name | ROBERT FRANCIS WALSH M.P.T.
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Gender | Male
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 14427 CHASE ST SUITE 206
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City | PANORAMA CITY
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State | CA
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Zip | 91402-3020
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Country | US
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Telephone | 818-920-9474
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Fax | 818-920-9473
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Provider Business Mailing Address
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Address Line | 2222 FOOTHILL BLVD E-553
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City | LA CANADA
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State | CA
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Zip | 91011-1456
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Country | US
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Telephone | 818-749-5056
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Fax | 818-920-9473
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT21051
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License Number State | CA
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