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General NPI Number Information
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NPI Number | 1922031350
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Entity Type | Organization
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Legal Business Name | SARA E WALKER
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3880 S BASCOM AVE SUITE 207
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City | SAN JOSE
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State | CA
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Zip | 95124-2674
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Country | US
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Telephone | 408-377-2696
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Fax | 408-377-1692
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Provider Business Mailing Address
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Address Line | 3880 S BASCOM AVE SUITE 207
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City | SAN JOSE
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State | CA
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Zip | 95124-2674
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Country | US
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Telephone | 408-377-2696
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Fax | 408-377-1692
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MS. SARA E WALKER
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Credential | OTR, CHT
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Telephone | 408-377-2696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | OT 2747
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License Number State | CA
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