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General NPI Number Information
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NPI Number | 1972312114
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Entity Type | Individual
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Provider Name | ROSS ABNER KNEPP ATC
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Gender | Male
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 933 S STATE ROAD 57
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City | WASHINGTON
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State | IN
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Zip | 47501-4374
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Country | US
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Telephone | 812-202-7070
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Fax |
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Provider Business Mailing Address
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Address Line | 9344 WYNNFIELD DR
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City | EVANSVILLE
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State | IN
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Zip | 47725-7694
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Country | US
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Telephone | 812-296-0227
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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 | 36003823A
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License Number State | IN
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