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General NPI Number Information
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NPI Number | 1578471868
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Entity Type | Individual
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Provider Name | MICHAEL DAVID POWELL ATC/L
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Gender | Male
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Dates
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Enumeration Date | 08/28/2026
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Last Update Date | 08/28/2026
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Provider Practice Location Address
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Address Line | 7555 N PIMA RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4013
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Country | US
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Telephone | 412-596-4639
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Fax |
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Provider Business Mailing Address
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Address Line | 11375 E SAHUARO DR APT 1037
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City | SCOTTSDALE
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State | AZ
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Zip | 85259-4066
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Country | US
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Telephone | 412-596-4639
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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 | ATR-001592
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License Number State | AZ
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