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General NPI Number Information
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NPI Number | 1215550298
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Entity Type | Individual
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Provider Name | HALEY ANNE LIPTRAP MSAT, LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 05/25/2020
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 9 NOTRE DAME AVE
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City | MANCHESTER
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State | NH
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Zip | 03102-3935
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Country | US
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Telephone | 603-624-6384
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Fax |
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Provider Business Mailing Address
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Address Line | 35 KOSCIUSZKO ST
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City | MANCHESTER
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State | NH
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Zip | 03101-1608
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Country | US
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Telephone |
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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 | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | 34764
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | 563610
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT03247
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 1581
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License Number State | NH
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