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General NPI Number Information
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NPI Number | 1841039658
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Entity Type | Individual
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Provider Name | DAVID RYAN JAMES ATC
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Gender | Male
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Dates
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Enumeration Date | 05/21/2024
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 7801 N TIGERVILLE RD
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City | TIGERVILLE
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State | SC
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Zip | 29688-9700
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Country | US
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Telephone | 864-977-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 5920 PAGEMONT RD
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City | KANNAPOLIS
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State | NC
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Zip | 28081-8788
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Country | US
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Telephone | 704-261-4499
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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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