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General NPI Number Information
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NPI Number | 1033728308
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Entity Type | Individual
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Provider Name | JOSEPH CARNEY METZ III MS, ATC, CSCS
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Gender | Male
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Dates
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Enumeration Date | 07/23/2020
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Last Update Date | 07/23/2020
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Provider Practice Location Address
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Address Line | 1478 E BUENA VISTA DR
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City | LAKE BUENA VISTA
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State | FL
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Zip | 32830-8422
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Country | US
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Telephone | 910-297-8326
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Fax |
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Provider Business Mailing Address
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Address Line | 4254 CAPLOCK ST
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City | CLERMONT
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State | FL
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Zip | 34711-5061
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Country | US
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Telephone | 910-297-8326
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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 |
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License Number State |
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