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General NPI Number Information
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NPI Number | 1528847019
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Entity Type | Individual
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Provider Name | EMILY MCKINNEY ATC
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Gender | Female
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Dates
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Enumeration Date | 09/25/2023
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 10095 INVESTMENT WAY
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City | FLORENCE
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State | KY
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Zip | 41042-4798
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Country | US
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Telephone | 859-496-2251
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Fax |
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Provider Business Mailing Address
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Address Line | 308 E 39TH ST
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City | COVINGTON
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State | KY
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Zip | 41015-1552
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Country | US
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Telephone | 859-496-2251
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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 | AT2022
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License Number State | KY
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