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General NPI Number Information
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NPI Number | 1023725926
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Entity Type | Individual
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Provider Name | HALLE K STREGE LAT, ATC, CES
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Gender | Female
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Dates
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Enumeration Date | 10/31/2022
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 7930 N SHADELAND AVE STE 200
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-2943
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Country | US
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Telephone | 317-497-6024
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Fax | 317-497-2507
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Provider Business Mailing Address
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Address Line | 9881 S 575 W
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City | FORTVILLE
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State | IN
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Zip | 46040-9221
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Country | US
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Telephone | 317-263-4252
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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 | 36003744A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT006785
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License Number State | OH
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