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General NPI Number Information
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NPI Number | 1316594435
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Entity Type | Individual
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Provider Name | JON WALKER PT,DPT
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Gender | Male
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Dates
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Enumeration Date | 08/22/2019
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Last Update Date | 07/12/2022
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Provider Practice Location Address
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Address Line | 6702 W POLY WEBB RD
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City | ARLINGTON
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State | TX
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Zip | 76016-3615
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Country | US
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Telephone | 817-478-0095
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Fax | 817-478-7628
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Provider Business Mailing Address
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Address Line | 6702 W POLY WEBB RD
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City | ARLINGTON
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State | TX
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Zip | 76016-3615
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Country | US
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Telephone | 817-478-0095
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Fax | 817-478-7628
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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 | 1323550
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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