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General NPI Number Information
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NPI Number | 1760893267
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Entity Type | Individual
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Provider Name | KAREN GARRISON ATC
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Gender | Female
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Dates
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Enumeration Date | 05/19/2014
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Last Update Date | 05/19/2014
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Provider Practice Location Address
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Address Line | 1700 SW COLLEGE AVE
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City | TOPEKA
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State | KS
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Zip | 66621-0001
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Country | US
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Telephone | 785-670-1461
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Fax | 785-670-1091
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Provider Business Mailing Address
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Address Line | 1700 SW COLLEGE AVE
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City | TOPEKA
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State | KS
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Zip | 66621-0001
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Country | US
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Telephone | 785-670-1461
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Fax | 785-670-1091
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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 | 24-00643
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License Number State | KS
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