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General NPI Number Information
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NPI Number | 1649660176
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Entity Type | Individual
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Provider Name | KATLIN M MICHAELS ATC
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Gender | Female
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Dates
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Enumeration Date | 02/04/2015
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Last Update Date | 02/05/2015
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Provider Practice Location Address
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Address Line | 917 KALANIANAOLE HWY
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City | KAILUA
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State | HI
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Zip | 96734-4600
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Country | US
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Telephone | 808-261-0707
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Fax |
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Provider Business Mailing Address
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Address Line | 2115 ALA WAI BLVD APT 1504
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City | HONOLULU
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State | HI
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Zip | 96815-2213
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Country | US
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Telephone | 570-204-9148
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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 | 202
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License Number State | HI
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