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General NPI Number Information
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NPI Number | 1588218184
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Entity Type | Individual
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Provider Name | KARAH ELIZABETH SIMS MA, LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 07/31/2019
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Last Update Date | 07/31/2019
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Provider Practice Location Address
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Address Line | 1201 COLISEUM DRIVE
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City | TUSCALOOSA
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State | AL
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Zip | 35401
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Country | US
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Telephone | 256-572-4837
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Fax | 205-348-4419
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Provider Business Mailing Address
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Address Line | 13680 OLD IVEY DR
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City | NORTHPORT
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State | AL
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Zip | 35475-3495
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Country | US
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Telephone | 256-572-4837
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Fax | 205-348-4419
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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 | 1864
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License Number State | AL
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