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General NPI Number Information
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NPI Number | 1437649407
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Entity Type | Individual
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Provider Name | LAURA DUNHAM ATC
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Gender | Female
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Dates
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Enumeration Date | 05/15/2018
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Last Update Date | 05/15/2018
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Provider Practice Location Address
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Address Line | 11251 REED WAY
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City | WESTMINSTER
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State | CO
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Zip | 80020-2720
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Country | US
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Telephone | 720-887-1992
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Fax |
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Provider Business Mailing Address
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Address Line | 9206 W 107TH MEWS
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City | WESTMINSTER
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State | CO
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Zip | 80021-7349
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Country | US
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Telephone | 402-332-6798
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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 | 2000016949
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License Number State | CO
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