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General NPI Number Information
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NPI Number | 1710308457
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Entity Type | Individual
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Provider Name | SARAH CHAYA ATC
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Gender | Female
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Dates
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Enumeration Date | 12/24/2013
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Last Update Date | 12/24/2013
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Provider Practice Location Address
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Address Line | 200 IRISH RD
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City | BERWYN
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State | PA
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Zip | 19312-1260
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Country | US
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Telephone | 610-240-1072
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Fax |
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Provider Business Mailing Address
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Address Line | 712 MORGAN DR W
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City | COATESVILLE
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State | PA
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Zip | 19320-2262
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Country | US
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Telephone | 610-380-1843
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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 | RT003997
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License Number State | PA
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