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General NPI Number Information
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NPI Number | 1164188983
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Entity Type | Individual
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Provider Name | CHRISTOPHER STANLEY MS, ATC, LAT
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Gender | Male
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Dates
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Enumeration Date | 11/16/2021
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 4225 DANBURY DR
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City | AMARILLO
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State | TX
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Zip | 79109-5199
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Country | US
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Telephone | 806-326-2123
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Fax |
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Provider Business Mailing Address
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Address Line | 21539 ROSE MILL DR
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City | KINGWOOD
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State | TX
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Zip | 77339-2389
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Country | US
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Telephone | 580-273-3595
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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 | AT4381
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License Number State | TX
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