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General NPI Number Information
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NPI Number | 1215814801
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Entity Type | Individual
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Provider Name | HANNAH MICHELLE WHITLEY RBT
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Gender | Female
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 910 E MAIN ST
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City | LINCOLNTON
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State | NC
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Zip | 28092-3449
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Country | US
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Telephone | 704-748-0616
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Fax |
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Provider Business Mailing Address
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Address Line | 1029 UNITY CHURCH RD
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City | KINGS MOUNTAIN
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State | NC
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Zip | 28086-7623
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Country | US
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Telephone | 704-915-8649
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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 | RBT-25-2380-993640
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License Number State | NC
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