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General NPI Number Information
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NPI Number | 1013376649
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Entity Type | Individual
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Provider Name | ANDREW PETER RUSSO ATC, SCAT
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Gender | Male
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Dates
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Enumeration Date | 02/10/2016
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Last Update Date | 02/08/2018
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Provider Practice Location Address
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Address Line | 301 MEETING ST
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City | CHARLESTON
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State | SC
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Zip | 29424-1552
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Country | US
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Telephone | 757-635-9512
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Fax |
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Provider Business Mailing Address
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Address Line | 1620 POINCARE BND
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-6926
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Country | US
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Telephone | 757-635-9512
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 2043
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License Number State | SC
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