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General NPI Number Information
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NPI Number | 1649705963
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Entity Type | Individual
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Provider Name | WENDY MORGAN DAMMAI ATC
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Gender | Female
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Dates
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Enumeration Date | 04/24/2017
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Last Update Date | 04/24/2017
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Provider Practice Location Address
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Address Line | 172 RUTLEDGE AVE
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City | CHARLESTON
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State | SC
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Zip | 29403-5821
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Country | US
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Telephone | 843-697-9947
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Fax |
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Provider Business Mailing Address
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Address Line | 550 HARBOR COVE LN APT 1400F
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City | CHARLESTON
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State | SC
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Zip | 29412-3013
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Country | US
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Telephone | 843-697-9947
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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 | 680
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License Number State | SC
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