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General NPI Number Information
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NPI Number | 1689014326
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Entity Type | Individual
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Provider Name | LORNA STRONG ATC, LAT
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Gender | Female
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Dates
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Enumeration Date | 06/26/2013
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Last Update Date | 06/26/2013
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Provider Practice Location Address
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Address Line | 2342 RUSSELL LONG BLVD VIRGIL HENSON ACTIVITIES CENTER 217
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City | CANYON
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State | TX
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Zip | 79016-0001
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Country | US
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Telephone | 806-651-2382
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Fax |
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Provider Business Mailing Address
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Address Line | 9000 LUNDY LN
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City | AMARILLO
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State | TX
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Zip | 79119-3808
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Country | US
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Telephone | 806-356-6322
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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 | AT1135
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License Number State | TX
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