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General NPI Number Information
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NPI Number | 1104725811
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Entity Type | Individual
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Provider Name | MISS KARI ANN VAN ALLEN
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Gender | Female
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 2350 E RIDGE RD
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City | ROCHESTER
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State | NY
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Zip | 14622-2799
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Country | US
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Telephone | 585-339-1450
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Fax |
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Provider Business Mailing Address
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Address Line | 279 SOUTHRIDGE DR
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City | ROCHESTER
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State | NY
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Zip | 14626-4222
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Country | US
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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 | 004857
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License Number State | NY
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