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NPI 1891907168

NPI 1891907168 : SHERI ANN BING ATC, LAT : WINDER, GA

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General NPI Number Information
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    NPI Number           |    1891907168
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    Entity Type          |    Individual 
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    Provider Name        |    SHERI ANN BING ATC, LAT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/07/2007
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    Last Update Date     |    06/23/2014
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Provider Practice Location Address
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    Address Line         |    1209 PALMER DR 
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    City                 |    WINDER
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    State                |    GA
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    Zip                  |    30680-4344
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    Country              |    US
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    Telephone            |    404-819-9850
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1209 PALMER DR 
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    City                 |    WINDER
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    State                |    GA
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    Zip                  |    30680-4344
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    Country              |    US
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    Telephone            |    404-819-9850
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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       |    1061
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    License Number State |    TN
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