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General NPI Number Information
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NPI Number | 1154773208
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Entity Type | Individual
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Provider Name | THOMAS JOSEPH KUREN JR. ATC
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Gender | Male
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Dates
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Enumeration Date | 07/12/2016
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Last Update Date | 07/12/2016
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Provider Practice Location Address
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Address Line | 263 CALIFORNIA RD APARTMENT 414
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City | BROWNSVILLE
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State | PA
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Zip | 15417-9370
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Country | US
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Telephone | 570-417-8232
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Fax |
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Provider Business Mailing Address
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Address Line | 10 ALLEN DR
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City | LARKSVILLE
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State | PA
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Zip | 18704-1402
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Country | US
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Telephone | 570-417-8232
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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 |
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License Number State | PA
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