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General NPI Number Information
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NPI Number | 1487125548
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Entity Type | Individual
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Provider Name | TREVOR MCFARLAND
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Gender | Male
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 12/16/2018
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Provider Practice Location Address
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Address Line | 97 SPEAR ST
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City | BURLINGTON
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State | VT
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Zip | 05405-1701
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Country | US
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Telephone | 413-429-7692
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Fax |
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Provider Business Mailing Address
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Address Line | 156 CHRISTIAN HILL RD
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City | GREAT BARRINGTON
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State | MA
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Zip | 01230-1108
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Country | US
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Telephone | 413-429-7692
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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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 |
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