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General NPI Number Information
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NPI Number | 1861712945
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Entity Type | Individual
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Provider Name | JAMES MICHAEL MASTERS ATC
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Gender | Male
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Dates
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Enumeration Date | 06/10/2010
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Last Update Date | 06/10/2010
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Provider Practice Location Address
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Address Line | 6000 WINEGARD RD
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City | ORLANDO
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State | FL
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Zip | 32809-4879
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Country | US
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Telephone | 407-852-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 8635 LYONIA DR
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City | ORLANDO
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State | FL
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Zip | 32829-8624
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Country | US
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Telephone | 407-968-6033
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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 | AL1933
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License Number State | FL
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