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General NPI Number Information
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NPI Number | 1154156503
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Entity Type | Individual
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Provider Name | CLAUDIA PUTMAN LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 09/05/2024
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 21 BEAMER WAY JAMERSON ATHLETIC CENTER RM 150
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City | BLACKSBURG
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State | VA
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Zip | 24061-0001
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Country | US
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Telephone | 540-231-6410
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Fax |
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Provider Business Mailing Address
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Address Line | 380 CONTINENTAL CIR APT 204
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City | CHRISTIANSBURG
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State | VA
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Zip | 24073-1146
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Country | US
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Telephone | 540-454-9414
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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 | 0126004124
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License Number State | VA
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