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General NPI Number Information
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NPI Number | 1972907756
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Entity Type | Individual
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Provider Name | KRYSTEN BINFET AT, ATC
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Gender | Female
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Dates
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Enumeration Date | 10/22/2014
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Last Update Date | 10/22/2014
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Provider Practice Location Address
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Address Line | 1903 W MICHIGAN AVE DEPARTMENT OF INTERCOLLEGIATE ATHLETICS
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City | KALAMAZOO
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State | MI
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Zip | 49008-5406
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Country | US
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Telephone | 269-276-3319
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Fax | 269-387-7168
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Provider Business Mailing Address
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Address Line | 1903 W MICHIGAN AVE DEPARTMENT OF INTERCOLLEGIATE ATHLETICS
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City | KALAMAZOO
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State | MI
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Zip | 49008-5406
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Country | US
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Telephone | 269-276-3319
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Fax | 269-387-7168
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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 | 2601001037
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License Number State | MI
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