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General NPI Number Information
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NPI Number | 1316903693
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Entity Type | Individual
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Provider Name | HILARY BRISTOL ATC
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Gender | Female
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 110 MILL ST
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City | NEW BRITAIN
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State | CT
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Zip | 06051-3413
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Country | US
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Telephone | 860-225-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 242 ROXBURY RD
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City | NEW BRITAIN
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State | CT
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Zip | 06053-3127
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State | CT
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