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General NPI Number Information
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NPI Number | 1932287059
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Entity Type | Organization
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Legal Business Name | WALK RITE INC
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 03/24/2008
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Provider Practice Location Address
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Address Line | 2127 WEST 8TH ST
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City | ERIE
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State | PA
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Zip | 16505
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Country | US
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Telephone | 814-218-7792
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Fax | 888-238-2056
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Provider Business Mailing Address
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Address Line | 2127 W 8TH ST
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City | ERIE
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State | PA
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Zip | 16505-4743
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Country | US
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Telephone | 814-218-7792
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Fax | 888-238-2056
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. NATHANIEL C ZIMMERMAN
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Credential |
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Telephone | 814-464-2992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | ABC C-PED1277
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 6000007141
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License Number State | PA
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