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General NPI Number Information
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NPI Number | 1740634617
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Entity Type | Individual
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Provider Name | MATTHEW HOSKINS MS, LAT, ATC
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Gender | Male
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Dates
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Enumeration Date | 04/18/2016
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Last Update Date | 07/12/2016
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Provider Practice Location Address
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Address Line | 303 N HOFFMAN ST
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City | BELGRADE
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State | MT
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Zip | 59714-3617
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Country | US
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Telephone | 406-924-2531
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Fax |
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Provider Business Mailing Address
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Address Line | 1102 NORTHERN PACIFIC
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City | BELGRADE
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State | MT
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Zip | 59714-8667
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Country | US
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Telephone |
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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 | 2000022603
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License Number State | MT
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