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General NPI Number Information
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NPI Number | 1720017163
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Entity Type | Individual
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Provider Name | KARI LANGLEY RIDDLE ATC
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Gender | Female
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 10/14/2016
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Provider Practice Location Address
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Address Line | 8100 SW 10TH ST
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City | PLANTATION
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State | FL
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Zip | 33324-3279
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Country | US
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Telephone | 954-210-1212
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Fax | 954-210-1210
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Provider Business Mailing Address
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Address Line | 6060 SW 8TH CT
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City | PLANTATION
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State | FL
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Zip | 33317-3973
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Country | US
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Telephone | 954-214-3089
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Fax | 305-348-3673
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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 | AL897
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License Number State | FL
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