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General NPI Number Information
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NPI Number | 1487628814
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Entity Type | Individual
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Provider Name | JAMES ANTHONY WARD ATC, LAT
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Gender | Male
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1538 BIRCH ST
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City | FLATWOODS
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State | KY
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Zip | 41139-1843
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Country | US
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Telephone | 606-833-0584
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Fax | 740-351-3172
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Provider Business Mailing Address
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Address Line | 1538 BIRCH ST
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City | FLATWOODS
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State | KY
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Zip | 41139-1843
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Country | US
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Telephone | 606-833-0584
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Fax | 740-351-3172
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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 | AT. 001822
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License Number State | OH
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