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General NPI Number Information
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NPI Number | 1295413128
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Entity Type | Individual
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Provider Name | BROCK ACKERMAN ATC
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Gender | Male
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 960 LEARNING WAY
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City | TALLAHASSEE
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State | FL
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Zip | 32306-0001
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Country | US
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Telephone | 850-644-0570
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 N BRONOUGH ST
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City | TALLAHASSEE
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State | FL
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Zip | 32303-6008
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Country | US
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Telephone |
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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 | 207PS0010X
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Taxonomy Name | Sports Medicine (Emergency Medicine) Physician
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License Number | AL6300
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License Number State | FL
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