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General NPI Number Information
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NPI Number | 1386409076
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Entity Type | Individual
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Provider Name | CLAIRE KATHRYN HIETT
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Gender | Female
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Dates
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Enumeration Date | 02/21/2024
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 2001 INDIAN DR
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City | DAHLONEGA
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State | GA
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Zip | 30533-3877
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Country | US
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Telephone | 706-864-6186
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Fax |
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Provider Business Mailing Address
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Address Line | 3375 VALLEY HILL RD NW
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City | KENNESAW
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State | GA
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Zip | 30152-3231
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Country | US
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Telephone | 404-213-0687
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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 | AT004636
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License Number State | GA
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