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General NPI Number Information
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NPI Number | 1205346343
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Entity Type | Individual
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Provider Name | KINSEY DUNST NELSON MS, ATC, CSCS
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Gender | Female
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Dates
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Enumeration Date | 10/03/2017
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 4822 E PALMETTO ST
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City | FLORENCE
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State | SC
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Zip | 29506-4530
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Country | US
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Telephone | 843-661-1358
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Fax |
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Provider Business Mailing Address
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Address Line | 114 BRITTAIN RD
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City | DARLINGTON
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State | SC
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Zip | 29532-2917
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Country | US
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Telephone | 414-559-3317
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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 |
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