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General NPI Number Information
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NPI Number | 1437661725
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Entity Type | Individual
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Provider Name | WHITNEY JEAN BATCHELOR ATC, LAT
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Gender | Female
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Dates
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Enumeration Date | 10/26/2017
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Last Update Date | 10/26/2017
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Provider Practice Location Address
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Address Line | 3992 CENTRAL CAMPUS DRIVE DEPT 3503
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City | OGDEN
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State | UT
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Zip | 84408-0001
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Country | US
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Telephone | 801-626-6592
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Fax | 801-626-8943
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Provider Business Mailing Address
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Address Line | 3992 CENTRAL CAMPUS DRIVE DEPT 3503
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City | OGDEN
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State | UT
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Zip | 84408-3503
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Country | US
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Telephone | 801-626-6592
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Fax | 801-626-8943
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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 | 7957926-4810
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License Number State | UT
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