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General NPI Number Information
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NPI Number | 1396102083
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Entity Type | Individual
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Provider Name | RACHEL FRITZ AT, ATC
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Gender | Female
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Dates
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Enumeration Date | 01/26/2016
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Last Update Date | 01/26/2016
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Provider Practice Location Address
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Address Line | 7677 YANKEE ST
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City | DAYTON
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State | OH
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Zip | 45459-3475
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Country | US
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Telephone | 937-401-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 11287 REYNOLDS RD
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City | LEWISBURG
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State | OH
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Zip | 45338-6766
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Country | US
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Telephone | 937-974-9780
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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 | AT. 004872
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License Number State | OH
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