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General NPI Number Information
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NPI Number | 1346549094
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Entity Type | Individual
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Provider Name | KATHRYN ELLEN ROSA ATC
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Gender | Female
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Dates
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Enumeration Date | 03/21/2011
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Last Update Date | 01/26/2017
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Provider Practice Location Address
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Address Line | 11704 KINGSTON PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37934-3850
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Country | US
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Telephone | 865-680-1742
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Fax |
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Provider Business Mailing Address
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Address Line | 11704 KINGSTON PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37934-3850
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Country | US
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Telephone | 865-680-1742
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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 | 1287
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License Number State | TN
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