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General NPI Number Information
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NPI Number | 1427458371
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Entity Type | Individual
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Provider Name | DANIEL HEPNER PT, DPT, ATC
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Gender | Male
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Dates
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Enumeration Date | 08/28/2014
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Last Update Date | 04/05/2025
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Provider Practice Location Address
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Address Line | 34 RIVER WALK MALL
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City | CHARLESTON
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State | WV
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Zip | 25303-1026
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Country | US
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Telephone | 304-766-5450
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Fax |
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Provider Business Mailing Address
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Address Line | 1750 HUBER RD
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City | CHARLESTON
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State | WV
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Zip | 25314-2230
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Country | US
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Telephone | 304-579-5888
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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 | AT001527
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT004439
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License Number State | WV
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