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General NPI Number Information
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NPI Number | 1992273825
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Entity Type | Individual
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Provider Name | JOHN H FRANCE II ATC
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Gender | Male
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Dates
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Enumeration Date | 11/08/2018
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Last Update Date | 11/08/2018
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Provider Practice Location Address
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Address Line | 405 HITCHINS RD
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City | GRAYSON
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State | KY
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Zip | 41143-1423
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Country | US
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Telephone | 606-571-3023
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Fax |
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Provider Business Mailing Address
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Address Line | 3701 BLACKBURN AVE
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City | ASHLAND
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State | KY
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Zip | 41101-4945
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Country | US
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Telephone | 606-571-3023
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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 | AT1479
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License Number State | KY
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