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General NPI Number Information
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NPI Number | 1518386754
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Entity Type | Individual
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Provider Name | AMY MORAN ATC, LAT
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Gender | Female
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 04/15/2014
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Provider Practice Location Address
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Address Line | 125 COOL SPRINGS BLVD SUITE 110
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City | FRANKLIN
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State | TN
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Zip | 37067-6474
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Country | US
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Telephone | 615-472-1711
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Fax | 615-472-1942
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Provider Business Mailing Address
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Address Line | 245 INDIAN LAKE BLVD APT J204
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-6329
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Country | US
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Telephone | 615-305-6385
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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 | 1768
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License Number State | TN
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