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General NPI Number Information
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NPI Number | 1316174485
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Entity Type | Individual
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Provider Name | JAMES WALKER PTA
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Gender | Male
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Dates
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Enumeration Date | 06/16/2009
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Last Update Date | 03/08/2023
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Provider Practice Location Address
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Address Line | 511 W VISALIA RD
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City | EXETER
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State | CA
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Zip | 93221-1019
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Country | US
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Telephone | 559-592-7117
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Fax | 559-592-7112
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Provider Business Mailing Address
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Address Line | 1121 W HOWARD AVE
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City | VISALIA
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State | CA
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Zip | 93277-4607
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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 | 8898
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | AT 5247
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License Number State | CA
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