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General NPI Number Information
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NPI Number | 1467563288
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Entity Type | Individual
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Provider Name | LESLIE D WALKER OT
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 06/22/2010
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Provider Practice Location Address
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Address Line | 8019 FRANKFORD AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19136-2786
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Country | US
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Telephone | 215-338-8900
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Fax | 215-338-8923
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Provider Business Mailing Address
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Address Line | 2 W 10TH ST
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City | MARCUS HOOK
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State | PA
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Zip | 19061-4513
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Country | US
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Telephone | 610-859-9110
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Fax | 610-859-8470
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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 | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | TR001914
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | U1-0001009
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OC010450
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License Number State | PA
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