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General NPI Number Information
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NPI Number | 1649872201
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Entity Type | Individual
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Provider Name | DONALD V FULLER PHD, ATC, LAT
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Gender | Male
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Dates
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Enumeration Date | 11/09/2020
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Last Update Date | 11/09/2020
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Provider Practice Location Address
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Address Line | 310 COLLEGE ST
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City | BARBOURVILLE
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State | KY
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Zip | 40906-1499
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Country | US
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Telephone | 606-546-1509
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Fax |
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Provider Business Mailing Address
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Address Line | 310 COLLEGE ST
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City | BARBOURVILLE
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State | KY
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Zip | 40906-1499
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Country | US
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Telephone | 678-221-7963
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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 | AT1608
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License Number State | KY
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