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General NPI Number Information
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NPI Number | 1316913858
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Entity Type | Individual
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Provider Name | JAMIE S. GAMBER EDD, ATC
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Gender | Female
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Dates
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Enumeration Date | 02/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 400 1ST AVE
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City | COLUMBUS
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State | GA
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Zip | 31901-3102
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Country | US
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Telephone | 334-740-0423
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Fax | 706-571-0080
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Provider Business Mailing Address
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Address Line | 420 ARNELL LN
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City | AUBURN
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State | AL
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Zip | 36830-6214
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Country | US
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Telephone | 334-821-9060
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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 | AT001267
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License Number State | GA
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