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General NPI Number Information
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NPI Number | 1376157636
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Entity Type | Individual
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Provider Name | CAROLYN HOWTON ATC
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Gender | Female
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Dates
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Enumeration Date | 09/03/2020
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Last Update Date | 09/04/2020
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Provider Practice Location Address
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Address Line | 1630 HIGHWAY 91 W
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City | JONESBORO
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State | AR
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Zip | 72404-9284
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Country | US
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Telephone | 870-919-5239
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Fax |
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Provider Business Mailing Address
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Address Line | 2206 CIRCLE DR
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City | JONESBORO
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State | AR
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Zip | 72401-5838
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Country | US
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Telephone | 720-369-6122
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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 | AT928
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License Number State | AR
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