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General NPI Number Information
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NPI Number | 1336566033
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Entity Type | Individual
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Provider Name | SYDNEY LYNN AUSTIN MHA, LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 03/20/2014
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Last Update Date | 04/20/2020
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Provider Practice Location Address
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Address Line | 2319 S GEORGE ST
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City | YORK
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State | PA
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Zip | 17403-5009
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Country | US
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Telephone | 301-991-6537
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Fax |
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Provider Business Mailing Address
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Address Line | 911 BELLVIEW CT
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City | RED LION
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State | PA
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Zip | 17356-9079
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Country | US
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Telephone | 301-991-6537
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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 | A0000496
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License Number State | MD
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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 | RT004890
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License Number State | PA
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