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General NPI Number Information
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NPI Number | 1447650981
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Entity Type | Individual
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Provider Name | KATHRYN ELISE WALTERS PHYSICAL THERAPIST
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Gender | Female
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Dates
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Enumeration Date | 09/03/2014
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Last Update Date | 07/17/2024
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Provider Practice Location Address
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Address Line | 134 HALL ST UNIT 1
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City | CONCORD
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State | NH
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Zip | 03301-3470
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Country | US
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Telephone | 603-224-4540
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Fax | 603-228-7384
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Provider Business Mailing Address
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Address Line | 134 HALL ST UNIT 1
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City | CONCORD
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State | NH
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Zip | 03301-3470
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Country | US
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Telephone | 603-224-4540
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Fax | 603-228-7384
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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 | 3948
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License Number State | NH
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