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General NPI Number Information
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NPI Number | 1083022180
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Entity Type | Individual
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Provider Name | CHELSEA FRASCOIA ATC, LAT
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Gender | Female
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Dates
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Enumeration Date | 08/01/2014
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Last Update Date | 08/01/2014
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Provider Practice Location Address
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Address Line | 16213 NW US HIGHWAY 441
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City | ALACHUA
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State | FL
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Zip | 32615-6399
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Country | US
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Telephone | 386-462-1125
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Fax |
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Provider Business Mailing Address
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Address Line | 10404 SCHAEFFER LN
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City | NOKESVILLE
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State | VA
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Zip | 20181-1724
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Country | US
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Telephone | 571-245-8828
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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 | AL3661
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License Number State | FL
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