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NPI 1164703294

NPI 1164703294 : BRITTANY NICOLE NEUMANN MED, LAT, ATC : SWANNANOA, NC

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General NPI Number Information
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    NPI Number           |    1164703294
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    Entity Type          |    Individual 
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    Provider Name        |    BRITTANY NICOLE NEUMANN MED, LAT, ATC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/02/2011
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    Last Update Date     |    02/12/2015
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Provider Practice Location Address
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    Address Line         |    701 WARREN WILSON RD 
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    City                 |    SWANNANOA
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    State                |    NC
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    Zip                  |    28778-2042
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    Country              |    US
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    Telephone            |    408-710-3377
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    534 BILTMORE AVE 
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    City                 |    ASHEVILLE
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    State                |    NC
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    Zip                  |    28801-4612
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    Country              |    US
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    Telephone            |    408-710-3377
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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       |    1769
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    License Number State |    NC
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