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General NPI Number Information
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NPI Number | 1699582023
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Entity Type | Individual
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Provider Name | CHRISTOPHER MICHAEL KUNKEL ATC-L
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Gender | Male
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 8800 HOLDEN BLVD
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City | FAIRFIELD
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State | OH
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Zip | 45014-2100
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Country | US
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Telephone | 513-882-4027
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Fax |
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Provider Business Mailing Address
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Address Line | 5578 CHATEAU WAY
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City | FAIRFIELD
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State | OH
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Zip | 45014-3216
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Country | US
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Telephone | 513-882-4027
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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 | 070702957
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License Number State | OH
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