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General NPI Number Information
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NPI Number | 1306723549
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Entity Type | Individual
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Provider Name | CAMERON J CIESIELSKI ATC
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Gender | Male
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 1155 S ELIZABETH ST
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City | MT PLEASANT
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State | MI
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Zip | 48858-3221
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Country | US
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Telephone | 989-775-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 608 S FRANKLIN ST UNIT 1
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City | MT PLEASANT
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State | MI
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Zip | 48858-3128
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Country | US
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Telephone | 989-414-7899
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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 |
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License Number State | MI
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