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General NPI Number Information
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NPI Number | 1881226447
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Entity Type | Individual
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Provider Name | CHRISTOPHER UNGER MS, ATC, LAT
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Gender | Male
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Dates
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Enumeration Date | 02/11/2020
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Last Update Date | 02/11/2020
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Provider Practice Location Address
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Address Line | 1555 PENNINGTON RD
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City | EWING
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State | NJ
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Zip | 08618-1301
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Country | US
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Telephone | 609-619-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 4015 RAVENS CREST DR
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City | PLAINSBORO
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State | NJ
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Zip | 08536-2420
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Country | US
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Telephone | 609-851-7510
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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 | 25MT00249800
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License Number State | NJ
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