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General NPI Number Information
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NPI Number | 1457227985
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Entity Type | Individual
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Provider Name | JEFFREY ENGELS
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Gender | Male
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 1 COLLEGE RD
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City | BATAVIA
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State | NY
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Zip | 14020-9703
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Country | US
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Telephone | 716-353-6744
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Fax |
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Provider Business Mailing Address
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Address Line | 1 COLLEGE RD
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City | BATAVIA
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State | NY
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Zip | 14020-9703
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Country | US
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Telephone |
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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 | 002729-01
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License Number State | NY
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