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General NPI Number Information
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NPI Number | 1205580982
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Entity Type | Individual
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Provider Name | COLLEEN JANE BABJAK MS, LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 02/10/2022
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 680 PELLIS RD
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City | GREENSBURG
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State | PA
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Zip | 15601-4453
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Country | US
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Telephone | 724-689-1970
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Fax | 724-689-1989
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Provider Business Mailing Address
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Address Line | 129 S SPRING AVE APT 3
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City | GREENSBURG
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State | PA
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Zip | 15601-2846
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Country | US
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Telephone | 412-527-0531
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Fax | 724-446-6008
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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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