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General NPI Number Information
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NPI Number | 1295119816
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Entity Type | Individual
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Provider Name | ANDREW PLAYTER
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Gender | Male
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Dates
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Enumeration Date | 07/14/2015
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Last Update Date | 04/12/2016
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Provider Practice Location Address
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Address Line | 535 9TH STREET EAST
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City | OWEN SOUND
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State | ONTARIO
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Zip | N4K 1P4
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Country | CA
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Telephone | 519-377-2822
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Fax |
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Provider Business Mailing Address
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Address Line | 535 9TH STREET EAST
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City | OWEN SOUND
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State | ONTARIO
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Zip | N4K 1P4
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Country | CA
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Telephone | 519-377-2822
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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 | 2601001424
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License Number State | MI
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