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General NPI Number Information
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NPI Number | 1215527817
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Entity Type | Individual
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Provider Name | ANNIKA PEIGHTON GARCIA LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 01/19/2021
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 425 JACK BRANCH DR
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City | BOONE
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State | NC
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Zip | 28607
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Country | US
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Telephone | 828-262-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 186 VILLAGE DR
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City | BOONE
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State | NC
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Zip | 28607-7925
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Country | US
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Telephone | 520-484-4516
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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 | LAT-5232
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License Number State | NC
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