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General NPI Number Information
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NPI Number | 1962229898
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Entity Type | Individual
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Provider Name | BRANDON WALKER DPT, MHA
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Gender | Male
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Dates
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Enumeration Date | 09/23/2024
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 7800 OAKMONT BLVD
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City | FORT WORTH
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State | TX
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Zip | 76132-4299
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Country | US
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Telephone | 817-346-0094
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Fax |
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Provider Business Mailing Address
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Address Line | 16012 FRANKLIN DR
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City | BILOXI
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State | MS
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Zip | 39532-2727
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Country | US
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Telephone | 228-229-9127
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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