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General NPI Number Information
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NPI Number | 1356093025
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Entity Type | Individual
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Provider Name | ABIGAIL L CHIRCO
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Gender | Female
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Dates
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Enumeration Date | 01/24/2022
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 650 JOEL DR
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City | FORT CAMPBELL
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State | KY
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Zip | 42223-5318
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Country | US
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Telephone | 270-798-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 DALTON SMITH CT UNIT 216
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City | CLARKSVILLE
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State | TN
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Zip | 37043-6074
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Country | US
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Telephone | 386-986-6637
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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 | 3292
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT2225
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License Number State | KY
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