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General NPI Number Information
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NPI Number | 1346734308
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Entity Type | Organization
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Legal Business Name | ERIC WALZ, PHYSICAL THERAPIST, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 06/21/2018
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Last Update Date | 08/02/2018
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Provider Practice Location Address
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Address Line | 303 N GLENOAKS BLVD STE 200
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City | BURBANK
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State | CA
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Zip | 91502-1118
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Country | US
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Telephone | 818-823-6621
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Fax | 818-356-4380
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Provider Business Mailing Address
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Address Line | 303 N GLENOAKS BLVD STE 200
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City | BURBANK
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State | CA
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Zip | 91502-1118
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Country | US
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Telephone | 818-823-6621
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Fax | 818-483-2369
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | DR. ERIC WALZ
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Credential | DPT
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Telephone | 818-823-6621
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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 |
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License Number State |
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