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General NPI Number Information
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NPI Number | 1104341148
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Entity Type | Individual
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Provider Name | COBY JAMISON REED ATC
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Gender | Male
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Dates
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Enumeration Date | 08/10/2017
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Last Update Date | 01/20/2020
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Provider Practice Location Address
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Address Line | ALL SAINTS ALL SAINTS BUILDING
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City | MANCHESTER
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State | GREATER MANCHESTER
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Zip | M15 6BH
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Country | GB
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Telephone | 16-124-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 20 WILMOTT ST. ROOM A FLAT B27 CAVENDISH PLACE
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City | MANCHESTER
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State | GREATER MANCHESTER
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Zip | M15 6AS
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Country | GB
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Telephone |
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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 | 2000036436
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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