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General NPI Number Information
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NPI Number | 1649676966
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Entity Type | Individual
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Provider Name | DAVID REDMAN ATC
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Gender | Male
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Dates
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Enumeration Date | 11/13/2014
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Last Update Date | 11/13/2014
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Provider Practice Location Address
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Address Line | 6000 J ST ATHLETICS DEPT
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City | SACRAMENTO
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State | CA
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Zip | 95819-2605
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Country | US
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Telephone | 469-964-3416
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Fax |
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Provider Business Mailing Address
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Address Line | 6730 4TH AVE APT. 931
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City | SACRAMENTO
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State | CA
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Zip | 95817-2678
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Country | US
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Telephone | 469-964-3416
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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 |
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License Number State |
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