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General NPI Number Information
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NPI Number | 1083038590
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Entity Type | Individual
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Provider Name | CHRISTOPHER CLAPTON LAT, ATC, NASM-PES
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Gender | Male
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Dates
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Enumeration Date | 02/05/2014
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Last Update Date | 09/05/2018
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Provider Practice Location Address
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Address Line | 118 COLLEGE DR # 5017
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City | HATTIESBURG
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State | MS
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Zip | 39406
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Country | US
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Telephone | 601-266-5830
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Fax |
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Provider Business Mailing Address
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Address Line | 29 PARK PL APT 1118
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City | HATTIESBURG
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State | MS
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Zip | 39402-5901
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Country | US
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Telephone | 252-532-5334
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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 | 1774
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License Number State | NC
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