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General NPI Number Information
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NPI Number | 1306974308
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Entity Type | Individual
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Provider Name | TORI NODA TORI NODA, ATC, CSCS
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Gender | Female
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2727 LEO HARRIS PKWY
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City | EUGENE
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State | OR
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Zip | 97401-8835
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Country | US
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Telephone | 541-346-5304
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Fax |
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Provider Business Mailing Address
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Address Line | 1434 W 10TH AVE
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City | EUGENE
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State | OR
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Zip | 97402-4740
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Country | US
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Telephone | 530-301-2385
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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 |
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