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General NPI Number Information
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NPI Number | 1245561687
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Entity Type | Individual
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Provider Name | RACHEL IRIS FREEMAN ATC/R
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Gender | Female
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Dates
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Enumeration Date | 01/25/2010
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Last Update Date | 01/25/2010
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Provider Practice Location Address
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Address Line | 14 E CACHE LA POUDRE ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-3243
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Country | US
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Telephone | 719-389-6154
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Fax |
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Provider Business Mailing Address
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Address Line | 5020 CLIFF POINT CIR E
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-8107
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Country | US
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Telephone | 719-237-4553
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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 | AT-847
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License Number State | CO
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