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General NPI Number Information
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NPI Number | 1447440821
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Entity Type | Individual
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Provider Name | RHIANNON REBECCA NEFF M.ED., ATC
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Gender | Female
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 07/31/2007
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Provider Practice Location Address
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Address Line | 308 STADIUM DRIVE MALONE STADIUM
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City | MONROE
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State | LA
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Zip | 71209-0001
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Country | US
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Telephone | 318-342-3565
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Fax | 318-342-3577
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Provider Business Mailing Address
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Address Line | 336 WOODALE DR APT. 2
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City | MONROE
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State | LA
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Zip | 71203-7292
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Country | US
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Telephone | 318-557-6868
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Fax | 318-342-3577
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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 | ATH.200072
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License Number State | LA
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