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General NPI Number Information
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NPI Number | 1093185316
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Entity Type | Individual
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Provider Name | JOHN BRAVO ATC
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Gender | Male
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Dates
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Enumeration Date | 09/29/2015
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Last Update Date | 09/29/2015
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Provider Practice Location Address
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Address Line | 300 OAK ST SUITE 450
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City | PEMBROKE
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State | MA
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Zip | 02359-1984
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Country | US
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Telephone | 781-829-9966
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Fax | 781-829-2164
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Provider Business Mailing Address
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Address Line | 300 OAK ST SUITE 450
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City | PEMBROKE
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State | MA
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Zip | 02359-1984
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Country | US
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Telephone | 781-829-9966
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Fax | 781-829-2164
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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 | 1876
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License Number State | MA
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