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General NPI Number Information
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NPI Number | 1497192603
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Entity Type | Individual
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Provider Name | BRETT ANTHONY DRAPER M.ED. A.T.,C.
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Gender | Male
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Dates
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Enumeration Date | 05/29/2013
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Last Update Date | 05/29/2013
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Provider Practice Location Address
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Address Line | 373 CARROLL ST
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City | AKRON
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State | OH
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Zip | 44325-0019
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Country | US
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Telephone | 330-972-6058
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Fax | 330-972-5253
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Provider Business Mailing Address
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Address Line | 200 PATRICK JOHN DR
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City | WADSWORTH
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State | OH
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Zip | 44281-8248
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Country | US
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Telephone | 330-571-4122
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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 | 860489
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License Number State | OH
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