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General NPI Number Information
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NPI Number | 1164488532
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Entity Type | Individual
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Provider Name | JOHN DAVID WALKER A.T.,C
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Gender | Male
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6700 CLARK RD
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City | SARASOTA
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State | FL
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Zip | 34241-9328
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Country | US
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Telephone | 941-926-8295
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Fax |
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Provider Business Mailing Address
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Address Line | 7323 ARROWHEAD RUN
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City | BRADENTON
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State | FL
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Zip | 34202-4154
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Country | US
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Telephone | 941-907-8022
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AL645
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License Number State | FL
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