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General NPI Number Information
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NPI Number | 1114452315
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Entity Type | Individual
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Provider Name | ALEXANDRA L CORBITT MSAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 04/25/2017
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 215 5TH ST ATHLETIC TRAINING DEPT.
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City | MARIETTA
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State | OH
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Zip | 45750-4033
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Country | US
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Telephone | 740-376-4575
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Fax | 740-376-4405
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Provider Business Mailing Address
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Address Line | 215 5TH ST ATHLETIC TRAINING DEPT.
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City | MARIETTA
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State | OH
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Zip | 45750-4033
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Country | US
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Telephone | 740-376-4575
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Fax | 740-376-4405
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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 | AT001211
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License Number State | WV
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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 | 849
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT006426
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License Number State | OH
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