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General NPI Number Information
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NPI Number | 1174745558
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Entity Type | Individual
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Provider Name | KRISTEN MARIE ADAMS MED, ATC, LAT
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Gender | Female
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/04/2014
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Provider Practice Location Address
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Address Line | 99 N THUNDER BLVD
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City | SARATOGA SPRINGS
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State | UT
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Zip | 84045-3134
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Country | US
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Telephone | 801-610-8815
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Fax |
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Provider Business Mailing Address
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Address Line | 85 W 1400 S
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City | OREM
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State | UT
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Zip | 84058-7429
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Country | US
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Telephone | 512-665-0963
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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 | AT3224
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 7728452-4810
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License Number State | UT
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