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General NPI Number Information
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NPI Number | 1215070933
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Entity Type | Individual
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Provider Name | STEPHANY NAMISNAK LANG ATC
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Gender | Female
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3200 S WATER ST
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City | PITTSBURGH
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State | PA
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Zip | 15203-2307
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Country | US
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Telephone | 412-432-3770
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Fax | 412-432-3774
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Provider Business Mailing Address
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Address Line | 2331 ROSE DR
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City | GLENSHAW
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State | PA
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Zip | 15116-2517
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Country | US
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Telephone | 412-487-9084
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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 | RT003705
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License Number State | PA
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