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General NPI Number Information
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NPI Number | 1427946151
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Entity Type | Individual
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Provider Name | MICHAEL L MCDEVITT ATC
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Gender | Male
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 271 PINE NOOK RD
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City | DEERFIELD
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State | MA
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Zip | 01342-9746
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Country | US
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Telephone | 413-774-7411
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Fax |
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Provider Business Mailing Address
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Address Line | 812 MONTBARD DR
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City | WEST CHESTER
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State | PA
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Zip | 19382-4966
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Country | US
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Telephone | 610-247-3526
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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 |
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License Number State |
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