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General NPI Number Information
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NPI Number | 1801323068
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Entity Type | Individual
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Provider Name | MONICA LYNN BURRUSS CARNEY LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 05/18/2017
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 3960 POPLAR SPRINGS RD
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City | RINGGOLD
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State | GA
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Zip | 30736-5811
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Country | US
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Telephone | 256-874-8194
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Fax |
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Provider Business Mailing Address
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Address Line | 6206 WIMBERLY DR
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City | CHATTANOOGA
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State | TN
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Zip | 37416-3229
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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 |
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License Number State |
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