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General NPI Number Information
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NPI Number | 1356899645
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Entity Type | Individual
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Provider Name | ALIKI KATERINI PAPPAS ATC, LAT
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Gender | Female
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Dates
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Enumeration Date | 09/14/2016
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Last Update Date | 10/18/2022
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Provider Practice Location Address
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Address Line | 2223 HIBISCUS AVE
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City | RICHARDSON
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State | TX
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Zip | 75080-8426
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Country | US
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Telephone | 214-842-9888
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Fax |
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Provider Business Mailing Address
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Address Line | 2223 HIBISCUS AVE
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City | RICHARDSON
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State | TX
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Zip | 75080-8426
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Country | US
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Telephone | 214-842-9888
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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 | 2000039323
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License Number State |
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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 | AT8391
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 8391
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License Number State | TX
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