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NPI 1649235128

NPI 1649235128 : MICHAEL JON NEUMEYER ATC/L, CSCS : NASHVILLE, TN

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General NPI Number Information
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    NPI Number           |    1649235128
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    Entity Type          |    Individual 
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    Provider Name        |    MICHAEL JON NEUMEYER ATC/L, CSCS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/19/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    915 MORROW RD 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37209-1930
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    Country              |    US
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    Telephone            |    615-289-8938
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    915 MORROW RD 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37209-1930
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    Country              |    US
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    Telephone            |    615-289-8938
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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       |    952
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    License Number State |    TN
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