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General NPI Number Information
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NPI Number | 1851356281
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Entity Type | Individual
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Provider Name | DANIEL L HASS A.T.C.
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Gender | Male
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5129 DIXIE HWY SUITE 303
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City | LOUISVILLE
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State | KY
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Zip | 40216-1727
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Country | US
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Telephone | 502-448-0931
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Fax | 502-448-0918
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Provider Business Mailing Address
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Address Line | 9410 EXHIBITION CT
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City | LOUISVILLE
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State | KY
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Zip | 40291-1384
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Country | US
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Telephone | 502-231-3735
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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 | AT106
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License Number State | KY
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