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General NPI Number Information
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NPI Number | 1376909150
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Entity Type | Individual
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Provider Name | BRIANNE STEPCHUK
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Gender | Female
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Dates
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Enumeration Date | 01/08/2016
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Last Update Date | 01/08/2016
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Provider Practice Location Address
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Address Line | 4000 CENTRAL FLORIDA BLVD ATTN SPORTS MEDICINE- BRIANNE STEPCHUK
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City | ORLANDO
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State | FL
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Zip | 32816-8005
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Country | US
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Telephone | 610-761-5391
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Fax |
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Provider Business Mailing Address
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Address Line | 200 ROYAL VIEW DR
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City | WEST CHESTER
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State | PA
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Zip | 19382-2116
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Country | US
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Telephone | 610-761-5391
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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 | AL 3886
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License Number State | FL
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