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NPI 1356107718

NPI 1356107718 : JOSEPH PALYJ BS, MS, NREMT, ATC : ADRIAN, MI

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General NPI Number Information
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    NPI Number           |    1356107718
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    Entity Type          |    Individual 
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    Provider Name        |    JOSEPH PALYJ BS, MS, NREMT, ATC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/23/2024
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    Last Update Date     |    08/06/2025
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Provider Practice Location Address
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    Address Line         |    1247 E SIENA HEIGHTS DR 
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    City                 |    ADRIAN
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    State                |    MI
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    Zip                  |    49221-1755
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    Country              |    US
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    Telephone            |    517-295-8070
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4988 NICHOLSON RD 
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    City                 |    FOWLERVILLE
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    State                |    MI
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    Zip                  |    48836-9606
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    Country              |    US
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    Telephone            |    517-295-8070
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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       |    2601003176
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    License Number State |    MI
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