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General NPI Number Information
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NPI Number | 1457629933
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Entity Type | Individual
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Provider Name | LINDA S GUARIGLIO ATC/L
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Gender | Female
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Dates
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Enumeration Date | 12/12/2011
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Last Update Date | 12/12/2011
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Provider Practice Location Address
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Address Line | 2626 E PECOS RD
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City | CHANDLER
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State | AZ
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Zip | 85225-2413
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Country | US
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Telephone | 480-732-7003
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Fax |
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Provider Business Mailing Address
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Address Line | 1265 S AARON UNIT 320
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City | MESA
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State | AZ
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Zip | 85209-3791
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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 | 0188
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License Number State | AZ
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