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General NPI Number Information
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NPI Number | 1801389986
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Entity Type | Individual
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Provider Name | ASHLEY MICHELLE JAMES ATC
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Gender | Female
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Dates
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Enumeration Date | 06/12/2018
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 3747 SW RAINTREE DR
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City | LEES SUMMIT
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State | MO
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Zip | 64082-4606
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Country | US
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Telephone | 708-491-9073
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Fax |
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Provider Business Mailing Address
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Address Line | 414 E PORTE CIMI PAS ST
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City | KANSAS CITY
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State | MO
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Zip | 64131-2922
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Country | US
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Telephone | 708-491-9073
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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 | 2022031290
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 24-01520
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License Number State | KS
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