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General NPI Number Information
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NPI Number | 1124260278
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Entity Type | Individual
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Provider Name | ELAINE ALLEN WALKER OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/02/2009
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 9304 CAMDEN FIELD PKWY
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City | RIVERVIEW
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State | FL
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Zip | 33578-0520
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Country | US
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Telephone | 813-533-2999
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Fax |
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Provider Business Mailing Address
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Address Line | 19274 BRIARBROOK DR
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City | TAMPA
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State | FL
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Zip | 33647-3757
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Country | US
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Telephone | 253-777-7131
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 112840
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT13646
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT13646
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License Number State | FL
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