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General NPI Number Information
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NPI Number | 1184033318
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Entity Type | Individual
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Provider Name | CAITLIN TAYLOR HALL MS, ATC, LAT
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Gender | Female
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Dates
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Enumeration Date | 08/13/2014
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Last Update Date | 08/13/2014
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Provider Practice Location Address
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Address Line | 3410 TAFT BLVD D.L. LIGON COLISEUM 159
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City | WICHITA FALLS
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State | TX
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Zip | 76308-2036
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Country | US
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Telephone | 940-397-4848
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Fax |
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Provider Business Mailing Address
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Address Line | 3919 BARNETT RD APT. 628
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City | WICHITA FALLS
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State | TX
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Zip | 76310-1725
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Country | US
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Telephone | 254-291-2492
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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 | AT5320
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License Number State | TX
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