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General NPI Number Information
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NPI Number | 1275339400
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Entity Type | Individual
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Provider Name | BROOKE ELIZABETH HUNTER ATC
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Gender | Female
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 2120 LIVE STRONGER ST
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City | TEA
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State | SD
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Zip | 57064-8331
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Country | US
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Telephone | 605-331-5890
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Fax |
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Provider Business Mailing Address
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Address Line | 2901 S BURNSFIELD AVE UNIT 3217
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City | SIOUX FALLS
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State | SD
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Zip | 57110-2863
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Country | US
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Telephone | 605-956-0745
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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 | 2000056827
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License Number State | SD
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