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General NPI Number Information
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NPI Number | 1922648450
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Entity Type | Individual
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Provider Name | HAYDEN LARMAN ATC, LAT, EMT
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Gender | Female
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Dates
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Enumeration Date | 01/13/2020
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Last Update Date | 01/13/2020
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Provider Practice Location Address
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Address Line | 16100 E PALISADES BLVD
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-2755
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Country | US
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Telephone | 214-808-3919
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Fax |
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Provider Business Mailing Address
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Address Line | 3356 E MORRISON RANCH PWKY
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City | GILBRT
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State | AZ
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Zip | 85296
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Country | US
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Telephone | 214-808-3919
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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 | 2000036104
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License Number State | AZ
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