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General NPI Number Information
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NPI Number | 1790559185
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Entity Type | Individual
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Provider Name | TONI SAMPSON LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 10359 W NASSAU AVE
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City | DENVER
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State | CO
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Zip | 80235-1400
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Country | US
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Telephone | 303-489-8231
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Fax |
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Provider Business Mailing Address
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Address Line | 6167 HOLMAN ST
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City | ARVADA
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State | CO
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Zip | 80004-3630
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Country | US
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Telephone | 303-489-8231
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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 | 657
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License Number State | CO
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