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NPI 1558325100

NPI 1558325100 : SYDNEY GAYLE RINGER MS, LAT, ATC : EDMOND, OK

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General NPI Number Information
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    NPI Number           |    1558325100
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    Entity Type          |    Individual 
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    Provider Name        |    SYDNEY GAYLE RINGER MS, LAT, ATC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/12/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    2501 E MEMORIAL RD 
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    City                 |    EDMOND
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    State                |    OK
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    Zip                  |    73013-5525
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    Country              |    US
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    Telephone            |    405-425-1961
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    Fax                  |    405-425-1962
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Provider Business Mailing Address
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    Address Line         |    21874 N COUNCIL RD 
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    City                 |    EDMOND
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    State                |    OK
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    Zip                  |    73003-9510
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    Country              |    US
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    Telephone            |    405-535-8911
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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       |    AT 108
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    License Number State |    OK
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