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General NPI Number Information
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NPI Number | 1255925095
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Entity Type | Individual
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Provider Name | WALKER WYATT PERKINS
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Gender | Male
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Dates
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Enumeration Date | 02/23/2021
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 3051 WATSON BLVD STE 525
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City | WARNER ROBINS
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State | GA
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Zip | 31093-8556
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Country | US
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Telephone | 478-405-2355
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Fax |
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Provider Business Mailing Address
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Address Line | 102 CHADWICK DR
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City | WARNER ROBINS
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State | GA
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Zip | 31088-2384
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Country | US
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Telephone | 478-986-8785
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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 | PT015152
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License Number State | GA
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