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General NPI Number Information
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NPI Number | 1609313220
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Entity Type | Individual
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Provider Name | ALAN HO ATC
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Gender | Male
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Dates
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Enumeration Date | 01/20/2017
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Last Update Date | 01/20/2017
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Provider Practice Location Address
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Address Line | 235 S 33RD ST ATHLETIC TRAINING DEPARTMENT
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City | PHILADELPHIA
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State | PA
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Zip | 19104-6322
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Country | US
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Telephone | 215-746-1372
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Fax | 215-898-9296
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Provider Business Mailing Address
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Address Line | 235 SS 33RD STREET ATHLETIC TRAINING DEPARTMENT
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City | PHILADELPHIA
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State | PA
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Zip | 19104
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Country | US
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Telephone | 215-746-1372
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Fax | 215-898-9296
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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 | RTO000193
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License Number State | PA
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