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General NPI Number Information
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NPI Number | 1477141802
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Entity Type | Individual
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Provider Name | STACY SCHUCHARD LAT.ATC
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Gender | Female
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Dates
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Enumeration Date | 12/31/2020
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Last Update Date | 12/31/2020
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Provider Practice Location Address
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Address Line | 8101 W POMONA DR
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City | ARVADA
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State | CO
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Zip | 80005-2572
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Country | US
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Telephone | 303-982-0710
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Fax |
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Provider Business Mailing Address
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Address Line | 12205 BELLAIRE ST
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City | THORNTON
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State | CO
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Zip | 80241-3615
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Country | US
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Telephone | 720-371-9391
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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 |
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License Number State | CO
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