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General NPI Number Information
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NPI Number | 1922521467
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Entity Type | Individual
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Provider Name | AMY MCDONALD ATC
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Gender | Female
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Dates
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Enumeration Date | 07/17/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 2950 BEN WEINER DR. TULANE UNIV., ATHLETIC TRAINING RM, 1ST FLOOR
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City | NEW ORLEANS
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State | LA
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Zip | 70118
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Country | US
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Telephone | 504-865-5511
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Fax |
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Provider Business Mailing Address
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Address Line | 31541 CORTE PACHECO
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City | TEMECULA
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State | CA
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Zip | 92592-6401
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Country | US
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Telephone | 951-676-3930
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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 | PENDING
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License Number State | LA
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