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General NPI Number Information
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NPI Number | 1285991554
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Entity Type | Organization
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Legal Business Name | WALKER HOMES LLC
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Dates
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Enumeration Date | 04/11/2012
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Last Update Date | 04/11/2012
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Provider Practice Location Address
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Address Line | 879 SCHOOL DR
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City | NORTH BALDWIN
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State | NY
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Zip | 11510-1124
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Country | US
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Telephone | 516-351-2146
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Fax | 516-565-0513
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Provider Business Mailing Address
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Address Line | 879 SCHOOL DR
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City | NORTH BALDWIN
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State | NY
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Zip | 11510-1124
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Country | US
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Telephone | 516-351-2146
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIELLE CARRINGTON
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Credential |
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Telephone | 516-351-2146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State | NY
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