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General NPI Number Information
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NPI Number | 1831675784
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Entity Type | Individual
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Provider Name | HANNAH LYNN REED ATC
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Gender | Female
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Dates
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Enumeration Date | 07/13/2018
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Last Update Date | 07/13/2018
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Provider Practice Location Address
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Address Line | 6066 JOHNSTOWN UTICA RD
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City | JOHNSTOWN
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State | OH
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Zip | 43031-9408
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Country | US
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Telephone | 330-604-9220
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Fax |
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Provider Business Mailing Address
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Address Line | 1669 WHITNEY CIR APT A
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City | PICKERINGTON
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State | OH
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Zip | 43147-8926
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Country | US
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Telephone | 330-604-9220
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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 | AT005263
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License Number State | OH
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