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General NPI Number Information
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NPI Number | 1164546990
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Entity Type | Individual
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Provider Name | JEFFREY SCOTT KIME ATC
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Gender | Male
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 09/09/2014
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Provider Practice Location Address
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Address Line | 8701 DARROW RD TWG1-3
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City | TWINSBURG
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State | OH
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Zip | 44087-2105
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Country | US
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Telephone | 216-225-9692
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Fax |
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Provider Business Mailing Address
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Address Line | 8701 DARROW RD TWG1-3
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City | TWINSBURG
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State | OH
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Zip | 44087-2105
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Country | US
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Telephone | 216-225-9692
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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 | AT000769
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License Number State | OH
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