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General NPI Number Information
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NPI Number | 1184257180
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Entity Type | Individual
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Provider Name | ALYSSA WALTER
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Gender | Female
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Dates
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Enumeration Date | 02/18/2020
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Last Update Date | 12/27/2022
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Provider Practice Location Address
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Address Line | 225 BRITTON LN
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City | MONROE
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State | OH
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Zip | 45050-1154
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Country | US
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Telephone | 513-312-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 1574 BLACK WOLF DR
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City | LEBANON
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State | OH
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Zip | 45036-7029
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Country | US
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Telephone |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 9063
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License Number State | OH
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