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General NPI Number Information
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NPI Number | 1902370679
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Entity Type | Individual
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Provider Name | MARGARET R GREGG ATC
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Gender | Female
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Dates
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Enumeration Date | 01/16/2019
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 120 W LEE ST
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City | LOUISVILLE
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State | KY
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Zip | 40208-1999
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Country | US
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Telephone | 502-485-8241
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Fax |
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Provider Business Mailing Address
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Address Line | 2019 LAUDERDALE RD # 1
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City | LOUISVILLE
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State | KY
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Zip | 40205-1529
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Country | US
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Telephone | 502-475-9558
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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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