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General NPI Number Information
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NPI Number | 1841259165
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Entity Type | Individual
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Provider Name | DALE FRANK BLAIR MS, ATC, CSCS
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Gender | Male
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1101 MILLERDALE AVE
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City | WENATCHEE
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State | WA
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Zip | 98801-3269
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Country | US
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Telephone | 509-663-8117
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Fax | 509-663-6905
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Provider Business Mailing Address
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Address Line | 1212 PRINCETON AVE N
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City | WENATCHEE
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State | WA
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Zip | 98801-1437
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Country | US
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Telephone | 509-662-4108
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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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