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General NPI Number Information
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NPI Number | 1932174810
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Entity Type | Individual
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Provider Name | JEFFREY DAVID WALKER D.P.T.
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Gender | Male
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Dates
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Enumeration Date | 02/22/2006
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 2803 MEDICAL CAMPUS DR
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City | GOLDSBORO, NC 27531
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State | NC
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Zip | 27530
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Country | US
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Telephone | 919-722-8310
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Fax |
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Provider Business Mailing Address
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Address Line | 102 SHADOWBROOK DR
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City | TUNKHANNOCK
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State | PA
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Zip | 18657-6860
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Country | US
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Telephone | 717-368-7353
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Fax |
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 017085
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License Number State | PA
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