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General NPI Number Information
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NPI Number | 1326909615
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Entity Type | Individual
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Provider Name | JOSHUA WALTERS PTA
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Gender | Male
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 18200 YORBA LINDA BLVD STE 101
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City | YORBA LINDA
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State | CA
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Zip | 92886-4006
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Country | US
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Telephone | 714-646-8070
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Fax | 714-572-1679
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Provider Business Mailing Address
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Address Line | 18200 YORBA LINDA BLVD STE 111
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City | YORBA LINDA
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State | CA
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Zip | 92886-4043
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Country | US
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Telephone | 714-646-8000
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Fax | 714-572-2562
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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 | PTA9651
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License Number State | CA
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