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General NPI Number Information
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NPI Number | 1003189689
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Entity Type | Individual
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Provider Name | KRISTIN NICOLE SALINAS ATC, LAT
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Gender | Female
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Dates
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Enumeration Date | 02/14/2012
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Last Update Date | 02/14/2012
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Provider Practice Location Address
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Address Line | 2929 BAY AREA BLVD
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City | HOUSTON
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State | TX
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Zip | 77058-1005
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Country | US
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Telephone | 281-284-2065
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Fax |
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Provider Business Mailing Address
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Address Line | 621 ROCKY HOLLOW LN
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City | LEAGUE CITY
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State | TX
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Zip | 77573-4767
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Country | US
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Telephone | 281-435-2544
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT4117
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License Number State | TX
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