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General NPI Number Information
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NPI Number | 1467873083
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Entity Type | Individual
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Provider Name | STEVEN LAWRENCE LINTERN MS, ATC, CSCS
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Gender | Male
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Dates
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Enumeration Date | 12/27/2013
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Last Update Date | 12/27/2013
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Provider Practice Location Address
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Address Line | 3900 N PARKVIEW DR
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-6398
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Country | US
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Telephone | 479-966-4187
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Fax |
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Provider Business Mailing Address
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Address Line | 21 W AUGUSTA DR APT 2
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-4473
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Country | US
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Telephone | 419-571-9977
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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 | AT489
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT.003821
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License Number State | OH
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