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General NPI Number Information
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NPI Number | 1326442351
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Entity Type | Individual
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Provider Name | AIMEE MONTMINY LAT, ATC, ITAT
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Gender | Female
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Dates
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Enumeration Date | 10/20/2014
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Last Update Date | 10/24/2016
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Provider Practice Location Address
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Address Line | 300 HAMPSHIRE ST
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City | LAWRENCE
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State | MA
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Zip | 01841-3644
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Country | US
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Telephone | 603-944-3314
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Fax |
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Provider Business Mailing Address
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Address Line | 818 BROADWAY
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City | HAVERHILL
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State | MA
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Zip | 01832-1210
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Country | US
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Telephone | 603-944-3314
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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 | 0611
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 2620
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License Number State | MA
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