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General NPI Number Information
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NPI Number | 1396101234
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Entity Type | Organization
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Legal Business Name | ATCARE, INC.
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Dates
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Enumeration Date | 01/07/2016
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Last Update Date | 01/07/2016
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Provider Practice Location Address
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Address Line | 1910 PACIFIC AVE SUITE 17120
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City | DALLAS
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State | TX
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Zip | 75201-4529
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Country | US
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Telephone | 888-323-8667
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Fax |
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Provider Business Mailing Address
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Address Line | 1910 PACIFIC AVE SUITE 17120
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City | DALLAS
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State | TX
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Zip | 75201-4529
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ASHANTE SIMMS
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Credential | MS,ATC, LAT
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Telephone | 888-323-8667
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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 | AT6316
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License Number State | TX
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