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General NPI Number Information
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NPI Number | 1851569743
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Entity Type | Organization
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Legal Business Name | HAMPSTEAD PHYSICAL THERAPY
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Dates
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Enumeration Date | 02/14/2008
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 16406 HWY. 17 STE. 9
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City | HAMPSTEAD
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State | NC
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Zip | 28443
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Country | US
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Telephone | 910-270-6026
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Fax | 910-270-6028
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Provider Business Mailing Address
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Address Line | 16406 HWY. 17 STE. 9
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City | HAMPSTEAD
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State | NC
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Zip | 28443
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Country | US
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Telephone | 910-270-6026
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Fax | 910-270-6028
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Authorized Official
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Title or Position | OWNER & PHYSICAL THERAPIST
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Name | MR. PRESTON ALMAND WALKER JR.
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Credential | PT
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Telephone | 910-270-6026
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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 | 9438
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License Number State | NC
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