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General NPI Number Information
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NPI Number | 1346382660
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Entity Type | Individual
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Provider Name | DEBRAH A. MORANTE ATC
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Gender | Female
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 101 HYERS ST
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City | TOMS RIVER
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State | NJ
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Zip | 08753-7429
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Country | US
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Telephone | 732-505-5752
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Fax | 732-341-1321
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Provider Business Mailing Address
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Address Line | 118A WEST CAMP WALK PO BOX 1175
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City | ISLAND HEIGHTS
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State | NJ
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Zip | 08732-1175
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Country | US
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Telephone | 732-270-9769
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Fax | 732-286-6379
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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 | 25MT00002900
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License Number State | NJ
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