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General NPI Number Information
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NPI Number | 1881832681
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Entity Type | Individual
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Provider Name | ANTHONY KATZENMEIER MS, ATC
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Gender | Male
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Dates
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Enumeration Date | 02/02/2009
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Last Update Date | 02/07/2017
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Provider Practice Location Address
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Address Line | 9600 N OKLAHOMA AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73114-2023
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Country | US
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Telephone | 405-227-0655
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Fax |
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Provider Business Mailing Address
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Address Line | 812 JANNAS TRAIL
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City | EDMOND
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State | OK
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Zip | 73013-6251
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Country | US
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Telephone | 405-227-0655
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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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