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General NPI Number Information
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NPI Number | 1659334233
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Entity Type | Individual
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Provider Name | LAURA ELIZABETH KENTER M.S., A.T.C.
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Gender | Female
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5700 COLLEGE RD ATHLETIC TRAINING
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City | LISLE
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State | IL
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Zip | 60532-2851
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Country | US
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Telephone | 630-829-6152
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Fax | 630-960-0899
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Provider Business Mailing Address
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Address Line | 1807 CONTINENTAL AVE APT 202
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City | NAPERVILLE
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State | IL
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Zip | 60563-4014
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Country | US
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Telephone | 630-803-5576
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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 | IL
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