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General NPI Number Information
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NPI Number | 1306962154
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Entity Type | Individual
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Provider Name | SCOTT MICHAEL SCHENKER M.S., ATC, LAT
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Gender | Male
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 10/21/2009
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Provider Practice Location Address
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Address Line | 901 N HIGHLAND AVE
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City | ORLANDO
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State | FL
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Zip | 32803-3233
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Country | US
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Telephone | 407-206-1900
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Fax | 407-206-1928
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Provider Business Mailing Address
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Address Line | 1823 GARVIN ST
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City | ORLANDO
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State | FL
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Zip | 32803-3347
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Country | US
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Telephone | 813-728-5244
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Fax | 407-206-1928
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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 | FL
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