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General NPI Number Information
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NPI Number | 1184781817
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Entity Type | Individual
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Provider Name | KELLI S WALKER PT
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Gender | Female
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 1200 N CENTRAL AVE APT SUITE110
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City | KISSIMMEE
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State | FL
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Zip | 34741-4450
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Country | US
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Telephone | 315-395-1174
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Fax |
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Provider Business Mailing Address
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Address Line | 11010 ORANGESHIRE CT
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City | OCOEE
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State | FL
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Zip | 34761-5616
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Country | US
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Telephone | 315-395-1174
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 0207851
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License Number State | NY
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